Clinical Documentation Specialist

Benton County, OR

$65K — $94K *
Healthcare
Less than 5 years of experience
Job Overview by Ladders

Qualifications

  • Bachelor's degree in nursing, physiology, health information management, or related field.
  • 1 year of experience in clinical documentation improvement or related healthcare role.
  • Medical Records Coding certification or ability to obtain within 6 months.
  • Experience with CPT, HCPCS, ICD-10-CM preferred.
  • Knowledge of HIPAA privacy laws and documentation compliance required.

Responsibilities

  • Support accurate and compliant clinical documentation practices.
  • Review clinical documentation for improvement opportunities.
  • Collaborate with providers and coding staff to enhance documentation clarity.
  • Provide education and feedback on best practices in documentation.
  • Assist in maintaining regulatory compliance and quality reporting.

Benefits

  • Generous time off including 11 paid holidays, sick leave, and vacation accrual.
  • $0 premium health insurance with coverage for family members.
  • Employer contributions towards retirement plans after 6 months of employment.
  • Free wellness program with incentives and resources for employee health.
  • 100% employer-paid coverage for life, AD&D, and long-term disability insurance.
Full Job Description
Salary : $65,566.63 - $94,774.96 Annually
Location : Corvallis, OR
Job Type: Regular Full-time
Job Number: 26-00067
Department: Health Services
Division: AFSCME
Opening Date: 06/11/2026
Closing Date: 6/28/2026 11:59 PM Pacific
Bargaining Unit:: AFSCME
Classification:: BA1
FLSA Exempt Status: Overtime Non-Exempt

Job Summary
Benton County is currently in search of a Clinical Documentation Specialist to join our team!

JOB SUMMARY
The Clinical Documentation Improvement Specialist supports accurate, complete, specific, and compliant clinical documentation across Health Services. This position reviews clinical documentation and related coding outcomes to identify opportunities for improvement in chart clarity, completeness, and consistency. The role works collaboratively with providers, coding and billing staff, operational leaders, and external vendors to strengthen documentation practices that support accurate code assignment, regulatory compliance, UDS reporting, risk adjustment, quality reporting, and revenue integrity. This position serves as an internal resource for documentation improvement and provides education, feedback, and process support to promote documentation that accurately reflects the patient's condition, services provided, medical decision-making, and care outcomes.
Click here for a complete list of the duties, responsibilities and physical requirements of this position.

BENEFITS
  • Generous time off to maintain a healthy work-life balance!
    • 11 Paid Holidays + 2 Floating Holidays + 8 hours of vacation accrual every month + sick leave! Vacation accrual increases with years of service.
  • $0 Health Insurance Premium!
    • Medical, Dental and Vision -cover your eligible family members without additional premium.
    • In addition, the County contributes up to $1,900 per year to your Health Savings or Health Reimbursement account, depending on plan and personal contribution.
      • Apart from your deductible you can use this money for things that aren't traditionally paid by insurance - i.e. Ibuprofen, Tylenol and other preventative type medications
      • You never lose your Health Savings Account funds as it rolls over from year to year
    • Dependents up to age 26 are covered.
  • Get ready for retirement. Generous employer paid contributions!
    • After 6 months of employment:
      • The County makes a retirement contribution of 6% of your salary towards Oregon PERS.
      • The County makes a deferred compensation 457b plan contribution of 1.5% of your salary. You can add more if you wish.
  • A free and award-winning wellness program
    • Interactive and personalized approach focused on your whole health.
    • Onsite and virtual seminars, wellness challenges and fun activities.
    • Monetary incentives and cool prizes to engage everyone and meet your individual needs.
  • 100% employer-paid coverage for AD&D ($100,000), Life ($50,000), and Long-Term Disability coverage.
    • Supplemental plans are available at reasonable rates.
  • Annual salary range of:
    • $65,566.63 - $94,774.96
    • This position is eligible for two salary raises within your first year as long as your performance is in good standing!
    • Note: salary placement will be based on your level of directly related experience and education consistent with Oregon's pay equity law.
  • Have benefits questions?
    • Reach out to us anytime:

MINIMUM QUALIFICATIONS
The following minimum qualifications are REQUIRED for this position:
  • Bachelor's degree from an accredited college or university in nursing, physiology, health information management or other related fields; AND
  • 1 year of experience in clinical documentation improvement, medical coding, medical auditing, health information management, revenue cycle, quality review, or a closely related healthcare role required

An equivalent combination of education and experience may be accepted. Please note candidates must have at least 6 months of actual work experience to be considered as equivalent.
Special Requirements
  • Medical Records Coding certification; Certification of Coding Education Program (CCEP) or Certified Professional Coder (CPC) or ability to obtain within 6 months.
  • Clinical Documentation Improvement certification such as CCDS or CDIP preferred, or ability to obtain within 6 months.
  • Hiring is contingent upon the successful completion of a background check.
The Ideal Candidate
  • Minimum of two years of experience in clinical documentation improvement, medical coding, medical auditing, health information management, revenue cycle, quality review, or a closely related healthcare role required.
  • Strong knowledge of CPT, HCPCS, ICD-10-CM, and documentation requirements in ambulatory care, community health center, and/or FQHC settings preferred.
  • Experience reviewing medical records for documentation quality, coding support, compliance, and/or billing accuracy required.
  • Knowledge of healthcare reimbursement, payer requirements, medical necessity, and the relationship between documentation, coding, quality reporting, and revenue integrity preferred.
  • Knowledge of HIPAA privacy laws and confidentiality requirements related to protected health information.
  • Experience using Microsoft Office suite and electronic health record/practice management systems such as OCHIN Epic or similar systems required.
  • Strong analytical skills and ability to interpret complex clinical documentation and communicate findings clearly and respectfully.
  • Ability to work collaboratively with providers, operational leaders, external vendors, and non-clinical staff.
  • Strong written and verbal communication skills, including ability to provide education and feedback in an effective and supportive manner.
Please ensure you have provided a thorough and updated application as it pertains to the position for which you are applying. Your application materials will be used to determine salary based on a pay equity assessment. For further information, please click on the link: Oregon Pay Equity Law

Questions regarding this position can be directed to
Debbie Sessions; Health Services Business Operations Director

Benton County Health Services

Telephone: (541) 609-8441
Working & Living in Benton CountyPerfectly placed in the Willamette Valley, 90 miles south of Portland and 40 miles north of Eugene, Benton County has easy access to urban areas with ample opportunities for cultural activities. Combined with outdoor recreation galore in the Cascade Range 80 miles to the east and the Coastal Range and Pacific Ocean 50 miles west, the county's 90,000 residents like to say they "have it all."
Working at Benton County
Living in Benton County
How to Apply
  • To apply for this position, click on the "Apply" button to fill out all information in the online application and complete the questionnaire. Failure to do so may result in your application being removed from consideration.
  • Only complete applications received by the posted application deadline date, or the first review date will be considered.
  • Answer all supplemental questions.
After you Apply
  • You will get an email stating your application has been submitted. Log in to your NeoGov account before the job announcement closes to see if you have any pending tasks or notifications and make sure to complete these tasks before the job announcement closes. These can be found under the "My Applications" section.
  • Be sure to check both your email and NeoGov account for updates regarding this recruitment.
Additional information
  • This is a FLSA exempt position.
  • This position is represented by the American Federation of State, County and Municipal Employees (AFSCME).
  • This position requires driving and may require use of a personal vehicle.
  • Hiring is contingent upon the successful completion of a background check.
  • This posting may be used to fill multiple vacancies.
  • Please save a copy of this job announcement for your reference, as it may not be available for you to view after the job closes.
  • Eligible veterans who meet the qualifications will be given veterans' preference. For further information, please see the following website: NOTE: If claiming veterans' preference please be sure to attach your DD214 and Disability letter from the VA (if applicable).
  • Benton County does not offer VISA sponsorships. Within three days of hire, you will be required to complete the US Department of Homeland Security's I-9 form confirming authorization to work in the United States. Benton County will review these documents to confirm that you are authorized to work in the United States.
  • If you wish to identify yourself as an individual with a disability under the Americans with Disabilities Act of 1990 and will be requesting accommodation, please contact the Benton County Human Resources Department by calling 541-766-6081.

Helpful links and contact information:Learn more about

webpage

For more information you may contact us by e-mail at or by phone at 541-766-6081.
EMPLOYEE BENEFITS AT BENTON COUNTY

Working for the County is so much more than a job. It is a chance to make a local difference - in your own life and the lives of the people around you.

Perfectly placed in the Willamette Valley, ninety miles south of Portland and forty miles north of Eugene, Benton County has easy access to urban areas with ample opportunities for cultural and major sporting events. Combined with unmatched outdoor recreation, County residents like to say they "have it all". With the Cascade Range, eighty miles to the East, and the Pacific Ocean fifty miles to the West - going out for a day at the beach, fishing, hunting, cycling or hiking is all within reach - Benton County truly offers something for everyone.

We offer a comprehensive benefits package designed to meet the needs of its employees and their families. Competitive benefits and an active employee wellness program is a top priority for the County.
01

Describe a time when you provided education or feedback to providers or clinical staff regarding documentation improvement. What was the issue, and what was the outcome?
02

Provide examples of your experience with ICD-10-CM, CPT, HCPCS, or HCC/risk-adjustment concepts. Describe the types of audits or coding reviews you have conducted and your role in those processes.
03

Describe how you have monitored documentation quality trends or tracked audit findings. What tools or methods did you use, and how did you communicate results to leadership?
04

Do you currently have any Clinical Documentation Improvement certifications such as CCDS or CDIP? If yes, please specify.
Required Question

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