Job Description

Clinical Documentation Improvement (CDI) Specialist

Immediate need for a talented Clinical Documentation Improvement (CDI) Specialist. This is a 06+months contract opportunity with long-term potential and is located in U.S (Remote).

Key Responsibilities:

• Perform concurrent and retrospective inpatient chart reviews
• Review provider documentation for completeness and accuracy
• Assign and validate MS-DRGs
• Develop compliant physician queries
• Improve Severity of Illness (SOI) and Risk of Mortality (ROM) capture
• Collaborate with physicians, coders, CDI, HIM, Case Management and Quality teams
• Identify CC/MCC opportunities and documentation gaps
• Support denial prevention and clinical validation initiatives
• Educate providers regarding documentation best practices
• Maintain productivity and quality standards while working remotely

Key Requirements and Technology Experience:

• RN, BSN, MSN, MD or Foreign Medical Graduate
• Minimum 4 years of clinical nursing or physician experience
• Minimum 2 years of inpatient CDI experience
• Experience with DRG assignment
• Experience performing physician queries
• Knowledge of ICD-10-CM, MS-DRGs, SOI/ROM
• BSN, MSN, MD, or higher clinical degree.
• CCDS, CDIP, CCS, CPC, RHIA, or RHIT certification.
• Experience with 3M CDI and coding applications.
• ICU, Critical Care, Emergency Department, Hospitalist, Case Management, Utilization Review, or CDI experience.

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