Clinical Documentation Specialist - HIM IP CDI

UNC Health Care · Raleigh, NC, United States

Location
Raleigh
Job Type
Full-time
Posted
June 29, 2026

Job Description

**Description**

Your passion belongs at UNC Health. Join more than 56,000 teammates working together to improve the health and well-being of the communities we serve across North Carolina.

Summary:

The Clinical Documentation Specialist will be responsible for analyzing and
auditing medical records concurrently to ensure that the clinical information
within the medical record is specific, accurate, clinical valid, complete, and
compliant. In addition, the Clinical Documentation Specialist will be
responsible for educating physicians, non-physician clinicians, nurses, and
other staff to facilitate documentation within the medical record that reflects
the most accurate severity of illness, expected risk of mortality, hospital
acquired conditions, patient safety indicators, hierarchical condition
categories, and level of service rendered. This position will report to the
Health Care System Supervisor of Clinical Documentation Integrity....

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