Clinical Documentation Integrity Specialist (CDIS) – Registered Nurse

Clinical Documentation Integrity Specialist (CDIS) – Registered Nurse

Location:

Lt. Col. Luke Weathers Jr. VA Medical Center

116 North Pauline Street, Memphis, TN 38104

Including affiliated Community-Based Outpatient Clinics (CBOCs)

Schedule:

Monday through Friday, 7:30 AM – 4:00 PM

(Full-Time)

Period of Performance:

· Base Year: October 1, 2025 – September 30, 2026

· Option Year 1: October 1, 2026 – September 30, 2027

Position Summary:

The Clinical Documentation Integrity Specialist (CDIS) is a Registered Nurse (RN) responsible for improving the quality, accuracy, and completeness of clinical documentation across the healthcare continuum. This role uses a collaborative, multidisciplinary approach involving physicians, nurses, HIM coders, revenue teams, and other key clinical staff to ensure accurate documentation of patient care and services rendered.

The CDIS will play a critical advisory role, acting as a liaison between providers and documentation teams to optimize coding, support appropriate reimbursement, and ensure compliance with regulatory and quality reporting requirements.

Key Responsibilities:

· Serve as a nursing advisor for clinical documentation standards and improvement strategies.

· Collaborate extensively with physicians, HIM coding staff, Revenue Utilization Review (RUR) team, and multidisciplinary clinical staff.

· Conduct reviews of medical records to identify discrepancies and opportunities for clarifying documentation.

· Provide education and feedback to providers and clinical staff to improve documentation practices.

· Ensure documentation supports accurate coding, third-party billing, and quality reporting metrics.

· Assist with efforts to maximize revenue collection while maintaining the integrity of clinical records.

· Support clinical outcomes reporting through accurate documentation reviews and data integrity.

· Maintain current knowledge of coding guidelines, healthcare regulations, and clinical documentation best practices.

Required Qualifications:

· Active, current, full, and unrestricted RN license in any U.S. State, Territory, or Commonwealth with reciprocity in the State of Tennessee.

· Demonstrated experience in clinical documentation improvement (CDI) and/or case management.

· Must be familiar with VA documentation practices and federal healthcare coding guidelines.

· Excellent verbal and written communication skills to collaborate with physicians and educate clinical teams.

One of the following Certifications is Required:

· ACDIS (Association of Clinical Documentation Integrity Specialists)

· AHIMA (American Health Information Management Association)

· AAPC (American Academy of Professional Coders)

CDIS credential strongly preferred.