CDI Quality Reviewer - Remote

Overview

The CDI Quality Reviewer is responsible for concurrent and retrospective review of clinical documentation to identify opportunities that improve documentation accuracy, quality reporting, and audit readiness. This role focuses on validating clinical indicators, supporting compliant coding, and strengthening defensibility across inpatient records. The CDI Quality Reviewer works collaboratively with CDI, coding, and audit teams to support high-quality documentation outcomes.

In Short

• Perform concurrent and retrospective reviews of inpatient medical records
• Validate clinical indicators supporting reported diagnoses and procedures
• Identify documentation gaps impacting DRG assignment and quality metrics
• Flag documentation risks affecting audits and compliance
• Provide clear review notes and recommendations
• Collaborate with CDI, coding, and audit teams
• Support audit defense and documentation quality initiatives
• Maintain quality and productivity standards while working independently

Requirements

• Active RN license or other applicable clinical license
• 3–5 years of CDI, inpatient coding, or clinical documentation review experience
• One of the following credentials: CDIP, CCDS, or CCS
• Strong understanding of DRGs, SOI/ROM, and inpatient documentation standards
• Knowledge of Official Coding Guidelines and ACDIS/AHIMA practices
• Ability to analyze complex clinical documentation
• Comfortable working independently in a fully remote role

Benefits

• Fully remote work environment
• Opportunities for continuous improvement
• Collaboration with various teams