Clinical Documentation Improvement (CDI) Specialist - Remote

Overview

The CDI Specialist is responsible for comprehensive secondary clinical chart reviews to identify potential missed opportunities for documentation clarification, collaborating closely with various healthcare professionals to ensure accurate and compliant coding.

In Short

• Conduct daily, concurrent review of inpatient records.
• Ensure complete and accurate documentation at discharge.
• Perform initial code assignment and data entry.
• Communicate with CDI Coordinator regarding review assignments.
• Initiate compliant physician queries for unclear documentation.
• Maintain knowledge of coding guidelines and clinics.
• Collaborate with Coders and Quality Auditors.
• Utilize CDI software systems effectively.
• Demonstrate strong analytical and critical thinking skills.
• Support regulatory compliance in documentation practices.

Requirements

• Bachelor's degree required.
• RN, MD, or MD Equivalent (MBBS) preferred.
• 2-4 years of acute care inpatient hospital coding or CDI experience.
• Familiarity with encoder and DRG assignment.
• Strong knowledge of medical terminology.
• Ability to converse with physicians in challenging scenarios.
• Proficiency with EHR systems and CDI software.
• Critical thinking and problem-solving skills.
• Strong typing and computer skills.
• CCDS, CDIP certification preferred.

Benefits

• Comprehensive total rewards package.
• Medical, Rx, Dental & Vision Insurance.
• Personal and Family Sick Time & Company Paid Holidays.
• 401(k) Retirement Plan.
• Tuition Reimbursement and Learning Opportunities.
• Short-Term & Long-Term Disability.
• Flexible Spending Accounts.
• Employee Referral Program.
• Corporate Sponsored Events & Community Outreach.
• Emergency Back-Up Childcare Program.