CDI Consultant

Enjoin • ,

1d • Remote

About The Position

The CDI Consultant applies clinical documentation and coding expertise to audit inpatient medical records and claims, ensuring accurate coding, appropriate reimbursement, and compliance with established guidelines. The role validates ICD-10-CM/PCS diagnosis and procedure codes, MS/APR-DRG assignments, discharge statuses, physician query compliance, and adherence to facility workflows.

Through detailed review of clinical documentation and supporting information, the CDI Consultant evaluates the clinical validity of reported diagnoses and procedures, identifies documentation gaps, and develops concise, compliant physician queries. The consultant collaborates with Enjoin physicians to review potential DRG recommendations and query opportunities before submitting findings to clients, and prepares clear, evidence-based rationales supported by ICD-10 Official Coding Guidelines and AHA Coding Clinic guidance.

As part of the Advisory team, this fully remote role requires strong clinical judgment, analytical skills, and communication, along with the ability to manage engagement deadlines, maintain accurate workpapers, and meet established quality and productivity expectations.

Requirements

• Bachelor’s degree in Health Information Management and/or a Registered Nurse credential; other health-related degrees and experience may be considered on a case-by-case basis.
• CCDS, CDIP, or CCS certification, plus an RN license or RHIA credential.
• At least five years of direct experience as a Clinical Documentation Specialist or developing a CDI program in an acute care or ambulatory setting.
• At least five years of healthcare management experience and/or two years of CDI consulting experience.
• Strong understanding of CDI program infrastructure, workflows, reporting, and metrics, along with HIM coding workflows.
• Proficiency in ICD-10-CM/PCS coding, MS-DRG reimbursement, and clinical documentation requirements, with knowledge of MS/APR-DRG methodologies.
• Experience educating or working directly with clinical documentation specialists, coders, and physicians.
• Strong analytical, problem-solving, and written and verbal communication skills.
• Experience with electronic health records such as Epic, Cerner, or Meditech, and proficiency in Microsoft Office, including Excel.
• Ability to meet engagement deadlines, maintain accurate workpapers, and meet quality and productivity expectations.

Nice To Haves

• Three or more years of supervisory or management experience.
• Candidates with at least 10 years of related healthcare experience, preferably including three years of supervisory or management experience, may be considered in lieu of the educational requirements.

Responsibilities

• Audit inpatient medical records to validate coding accuracy, clinical validity, DRG assignments, and compliance with facility workflows.
• Review clinical documentation, medications, lab results, and orders to identify documentation gaps and develop concise, compliant physician queries.
• Discuss potential DRG changes and physician query opportunities with Enjoin physicians before submitting recommendations to clients.
• Write clear audit rationales supported by ICD-10-CM/PCS Official Coding Guidelines and AHA Coding Clinic guidance.
• Follow AHIMA/ACDIS query compliance guidance and stay current on coding updates, reimbursement trends, and client requirements.
• Use client reports, workflow systems, and encoder tools to complete reviews and document findings accurately.
• Meet engagement deadlines and maintain a minimum productivity standard of three chart reviews per hour.
• Maintain complete, timely engagement workpapers and contribute ideas to improve quality, workflows, and productivity.
• Maintain a secure home workspace, reliable high-speed internet connection, strict HIPAA compliance, and confidentiality.

Benefits

• Comprehensive medical, dental, and vision insurance.
• 401(k) with company match.
• Generous paid time off plus eight paid holidays.
• 100% remote work environment with company-provided equipment.
• Professional development, leadership training, and internal growth opportunities.
• Recognition programs and performance-based rewards.
• Employee wellness resources and discount programs.
• White glove onboarding designed to set team members up for success.
• Collaborative, people-first culture recognized as a Great Place to Work® for three consecutive years.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level