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Clinical Documentation Integrity Jobs in Indiana

Boca Recovery Center

Clinical Director

Bloomington, IN

$74K - $100K/yr

Monitor clinical documentation for quality, accuracy, and compliance with state and federal ... Ability to manage crisis situations and lead with integrity and compassion Preferred Qualifications

Boca Recovery Center

Clinical Director

Bloomington, IN · On-site

$74K - $100K/yr

Monitor clinical documentation for quality, accuracy, and compliance with state and federal ... Ability to manage crisis situations and lead with integrity and compassion Preferred Qualifications

Boca Recovery Center

Clinical Director

Bloomington, IN · On-site

$74K - $100K/yr

Monitor clinical documentation for quality, accuracy, and compliance with state and federal ... Ability to manage crisis situations and lead with integrity and compassion Preferred Qualifications

Centerstone

Masters Level Clinician

Jeffersonville, IN

$43K - $61K/yr

Complete clinical documentation within two business days of the service provided. * Complete ... Respect, Expertise, Integrity and Empowerment are at the heart of every interaction at Centerstone ...

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Clinical Documentation Integrity information

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$37

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How much do clinical documentation integrity jobs pay per hour?

As of Jul 30, 2026, the average hourly pay for clinical documentation integrity in Indiana is $37.40, according to ZipRecruiter salary data. Most workers in this role earn between $31.78 and $42.79 per hour, depending on experience, location, and employer.

How much do CDI specialists make in the US?

In the US, Clinical Documentation Integrity (CDI) specialists typically earn between $60,000 and $85,000 annually, with salaries varying based on experience, certification, and location. Many CDI specialists also receive benefits such as healthcare and professional development opportunities, and the role often requires strong clinical knowledge and familiarity with electronic health records systems.

Is it hard to get a CDI job?

Clinical Documentation Integrity (CDI) jobs can be competitive, but having relevant certifications such as the Certified Clinical Documentation Specialist (CCDS) and strong knowledge of medical terminology and coding can improve chances of employment. Entry-level positions may require some experience or training, but many employers offer on-the-job training for qualified candidates.

What are some typical challenges faced in a Clinical Documentation Integrity role?

Professionals in Clinical Documentation Integrity often encounter challenges such as bridging communication gaps between clinical staff and coders, staying updated on constantly evolving healthcare regulations, and ensuring documentation accuracy under tight deadlines. The role requires balancing the needs for thorough clinical detail with the practicalities of busy healthcare environments. You may also need to educate or coach providers on best documentation practices to improve compliance and quality metrics. Successfully navigating these challenges is a rewarding way to directly impact patient care standards and organizational financial health.

What are the key skills and qualifications needed to thrive in the Clinical Documentation Integrity position, and why are they important?

To thrive in Clinical Documentation Integrity, you need a strong background in medical coding, clinical terminology, and healthcare regulations, often supported by an RHIA, RHIT, or CCS certification. Familiarity with electronic health record (EHR) systems, coding software, and quality assurance tools is critical for day-to-day responsibilities. Attention to detail, analytical thinking, and effective communication are key soft skills for collaborating with clinicians and ensuring thorough documentation. These skills are essential for ensuring accurate patient records, compliance with regulations, and the optimization of healthcare reimbursement.

Is CDI a stressful job?

Clinical Documentation Integrity (CDI) roles can be demanding due to the need for accuracy, attention to detail, and meeting strict deadlines. The job often involves reviewing complex medical records and collaborating with healthcare professionals, which can contribute to stress levels, especially during high workload periods or audits.

What is a Clinical Documentation Integrity job?

A Clinical Documentation Integrity (CDI) job involves reviewing medical records to ensure accurate, complete, and compliant documentation. CDI professionals work closely with physicians, coders, and healthcare teams to clarify diagnoses, procedures, and other essential details. Their role helps improve patient care, optimize reimbursements, and support regulatory compliance. Effective documentation also enhances data quality for research and reporting.

What does a clinical documentation integrity specialist do?

A clinical documentation integrity specialist reviews and improves the accuracy and completeness of patient medical records to ensure proper coding and billing. They collaborate with healthcare providers to clarify documentation, support compliance, and optimize reimbursement, often using electronic health record systems and requiring knowledge of medical terminology and coding standards.
What are popular job titles related to Clinical Documentation Integrity jobs in Indiana? For Clinical Documentation Integrity jobs in Indiana, the most frequently searched job titles are:
What job categories do people searching Clinical Documentation Integrity jobs in Indiana look for? The top searched job categories for Clinical Documentation Integrity jobs in Indiana are:
Clinical Documentation Integrity jobs near you
Infographic showing various Clinical Documentation Integrity job openings in Indiana as of July 2026, with employment types broken down into 3% As Needed, 80% Full Time, 11% Part Time, and 6% Contract. Highlights an 97% In-person, and 3% Hybrid job distribution, with an average salary of $77,783 per year, or $37.4 per hour.

Epic Implementation Clinical Documentation Specialist

Greene County General Hospital

Linton, IN • On-site

Full-time

Posted 8 days ago

Job description

The Epic Implementation/Clinical Documentation Specialist serves as the hospital's subject matter expert for clinical documentation integrity, Epic electronic health record (EHR) implementation, EHR optimization, and clinical workflow design. This role bridges clinical operations, quality, regulatory compliance, health information management, and information technology to ensure accurate, complete, compliant, and efficient documentation within the EHR. The Specialist provides on-site clinical leadership for Epic implementation, workflow validation, user readiness, go-live support, and post-implementation optimization. This is an on-site position.
Essential Duties and Responsibilities:
  • Conduct concurrent and retrospective documentation review to ensure completeness, regulatory compliance, and accurate reflection of patient severity and services rendered.
  • Communicate documentation clarification opportunities to providers and collaborate with HIM on coding and DRG alignment.
  • Monitor provider documentation compliance, including unsigned orders and required regulatory elements.
  • Educate clinical staff on documentation standards, regulatory updates, and EHR-related workflow changes.
  • Serve as the primary clinical lead for Epic EHR implementation, clinical workflow design, validation, optimization, and ongoing support.
  • Translate clinical workflows and operational needs into Epic build requests, workflow specifications, testing scenarios, and training needs in collaboration with IT, operational leaders, and vendor partners.
  • Lead or support workflow mapping, readiness assessments, user acceptance testing, integrated testing, issue tracking, go-live preparation, go-live support, and post-live optimization activities.
  • Collaborate with clinical leaders, providers, super users, and frontline staff to identify workflow risks, adoption barriers, documentation gaps, and patient safety concerns related to Epic implementation and use.
  • Develop, test, validate, and maintain clinical documentation tools, forms, order sets, templates, smart phrases, reports, and other EHR documentation structures as assigned.
  • Troubleshoot system issues, prioritize clinical risks, coordinate resolution with IT and vendor partners, and open or manage support tickets as needed.
  • Support user access, security role review, clinical system configurations, and workflow-specific permissions in collaboration with IT and organizational leadership.
  • Provide onboarding, coaching, just-in-time education, and ongoing training for clinical users, including providers, nursing, ancillary departments, and other clinical staff.
  • Support patient portal functionality, interoperability initiatives, provider mapping, electronic data exchange, and communication with external entities or vendors.
  • Participate in regulatory readiness, quality improvement, compliance, and patient safety initiatives related to clinical documentation and EHR workflows.
  • Serve as a liaison between clinical departments, quality, HIM, IT, and vender partners to ensure alignment of documentation and workflow practices.
  • Support a culture of safety through proactive monitoring of documentation and workflow risks.
  • Support CareWeb access and troubleshoot user issues.
  • Build and maintain ad hoc report templates as assigned.
  • Ensures patient care environments and practices support exemplary, safe, and high-quality care of patients and families.
  • Ensures that workplace environments are safe and that strategies are in place to prevent physical and psychological harm.
  • Demonstrates clear ownership of workplace and patient safety.
  • Reports mistakes, near misses, adverse events and quality and safety concerns.
  • Develops and implements safety and quality plans that support exemplary workplace and care practices, while also supporting a culture of safety.
  • Other duties as may be assigned.

Job Requirements
Education: Associate or Bachelor's degree in Nursing, Healthcare Administration, Health Information Management, Clinical Informatics, or related field; or equivalent combination of education and experience
Experience: Minimum three (3) years of acute care clinical experience required. Experience in clinical documentation improvement, quality management, informatics, utilization review, coding, EHR implementation, or clinical workflow optimization preferred. Experience with Epic or hospital-based EHR systems strongly preferred.
  • Advanced proficiency in EHR systems, clinical documentation workflows, and reporting tools.
  • Ability to support on-site implementation activities, including workflow review, training, go-live readiness, and direct clinical user support.
  • Strong analytical, problem-solving, and communication skills.
  • Ability to balance regulatory compliance, reimbursement integrity, workflow efficiency, and patient safety.
  • Availability to provide on-site support during implementation, go-live, post-live stabilization, and other operational needs as assigned.

Work Environment: This position is an on-site role located at Greene County General Hospital or assigned hospital-owned locations. The position is not remote and requires in-person presence to support clinical workflows, staff education, implementation activities, go-live support, troubleshooting, and operational needs.
Physical Requirements: Frequent sitting, standing, and walking. Ability to lift up to 25 pounds unassisted. Adequate vision and hearing for effective communication and computer-based work.

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