Medical Records Technician - CDI

Aptive • Memphis, TN

159d • Onsite

About The Position

The MRT-CDI Specialist will deliver onsite support for inpatient and outpatient documentation improvement by leveraging deep coding knowledge and documentation best practices. This position is responsible for analyzing patient treatment files and outpatient abstracts to improve data accuracy, optimize code integrity, and support the development of a compliant and sustainable CDI program.

Requirements

• Certification in medical coding or documentation from AHIMA, ACDIS, or AAPC.
• Demonstrated knowledge of ICD-10-CM, MS-DRGs, POA indicators, and SNOMED-CT.
• Familiarity with VHA documentation directives, CMS rules, and The Joint Commission standards.
• Strong analytical, documentation, and provider engagement skills.

Nice To Haves

• Minimum 2 years of CDIS experience preferred.

Responsibilities

• Perform detailed chart reviews for both inpatient and outpatient documentation to ensure accurate code assignment and MS-DRG capture.
• Collaborate with providers, CDI nurses, and coding teams to resolve documentation gaps through compliant queries and clarifications.
• Help develop and maintain the facility’s CDI program including SOPs, workflows, and turnaround protocols.
• Create and deliver education sessions for providers and coding teams on CDI issues and coding best practices.
• Identify and clarify documentation related to common conditions (e.g., sepsis, CHF, CKD, pneumonia, respiratory failure).
• Support reconciliation between CDI-assigned and final coded records to ensure coding accuracy and resolve discrepancies.
• Engage in documentation quality initiatives including mortality reviews, CMS core measures, and SNOMED-CT updates.
• Participate in CDI-specific newsletter contributions and provider education material development.
• Ensure all documentation supports billing, severity of illness, risk of mortality, and audit-readiness.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: No Education Listed
• Number of Employees: 501-1,000 employees