The CDI Specialist collaborates with physicians, nursing staff, other patient caregivers, and medical records coding staff to improve the quality, specificity, accuracy, and completeness of care documentation and coding. The role reviews medical records for diagnosis clarification and validity as they relate to DRG assignment, severity of illness, risk of mortality, case mix data, and timely, accurate documentation of clinical information used to measure and report physician and facility outcomes. These objectives are accomplished through chart review and query placement, following AHIMA guidelines and company policies and procedures. This is a remote, full-time position with a predictable schedule. The specialist conducts clinical documentation reviews in accordance with project productivity and quality standards, coding and documentation guidelines, and client requirements. The role requires accurate and timely record review, analytical skills, attention to detail, and the ability to work across multiple projects with minimal supervision. The position requires CCDS or CDIP certification, or willingness to obtain CCDS certification within six months of employment, a current RN license, and three years of CDI experience. Two or more years of clinical experience in an acute care setting is preferred. The role involves extended computer work, prolonged sitting at times, and occasional lifting and moving of materials weighing up to 20 pounds.
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Job Type
Full-time
Career Level
Mid Level
Education Level
No Education Listed