Clinical Documentation Integrity Specialist - Remote

Overview

The Clinical Documentation Integrity Specialist is responsible for ensuring comprehensive and accurate clinical documentation, collaborating with various healthcare professionals to enhance patient care and compliance with regulations.

In Short

• Conduct comprehensive secondary clinical chart reviews.
• Collaborate with Coders and Quality Auditors.
• Perform daily, concurrent reviews of inpatient records.
• Initiate compliant physician queries for documentation issues.
• Maintain knowledge of coding guidelines and regulations.
• Update working DRG assignments based on documentation.
• Communicate with the CDI Coordinator regarding workload.
• Utilize CDI software for data entry and case reviews.
• Work closely with healthcare providers to ensure documentation accuracy.
• Contribute to improving clinical documentation practices.

Requirements

• Bachelor's degree required.
• Must be RN, MD, or MD Equivalent (MBBS).
• 4 years of direct patient care experience.
• 2+ years of prior CDI experience preferred.
• Familiarity with encoder and DRG assignment.
• Strong critical thinking and analytical skills.
• Proficiency with EHR systems and CDI software.
• Strong knowledge of medical terminology and disease processes.
• Ability to communicate effectively with physicians.
• Strong typing and computer skills.

Benefits

• Medical, Rx, Dental & Vision Insurance.
• Personal and Family Sick Time & Company Paid Holidays.
• Eligible for discretionary variable incentive bonus.
• 401(k) Retirement Plan.
• Tuition Reimbursement and Learning Opportunities.
• Employee Referral Program.
• Corporate Sponsored Events & Community Outreach.
• Emergency Back-Up Childcare Program.