PATIENT CARE IS OUR #1 PRIORITY

Clinical Documentation Improvement, CDI Specialist

Medical writerMedical writerFull TimeRemoteTeam 201-500Since 2016H1B No SponsorCompany Site LinkedIn

Location

United States

Posted

30 days ago

Salary

Not specified

Associate Degree3 yrs expEnglish

Job Description

• Review inpatient medical records to identify documentation gaps and improvement opportunities • Craft physician queries that clarify diagnoses and procedures • Educate providers on documentation best practices and regulatory requirements • Monitor key metrics including CMI trends and query response rates • Support denial management with clinical justifications for appealed claims • Collaborate with coding teams for accurate DRG assignment • Develop documentation policies aligned with CIHQ accreditation standards

Job Requirements

Associate or bachelor's degree in Nursing, HIM, or a related healthcare field
3+ years of clinical experience in acute care (ER, ICU, med-surg, or case management preferred)
2+ years of CDI experience with concurrent review and physician querying
Active, unencumbered RN license (if nursing background)
RN, RHIA, RHIT, CCS, CCDS, CDIP, or related certification preferred
Strong knowledge of CMS, AHIMA, and ACDIS standards

Benefits

Clinical documentation improvement opportunities
Collaboration with physicians and coding teams
Education and coaching on best practices

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