Clinical Documentation Integrity (CDI) Specialist Jobs
Apply Now - Remote CDI Specialist
Overview
As a Clinical Documentation Integrity (CDI) Specialist, you will collaborate with physicians, nursing staff, other patient caregivers, and medical records coding staff to enhance the quality, specificity, accuracy, and completeness of documentation of care provided and coded. Your responsibilities will include reviewing medical records for opportunities for diagnosis clarification and validity, ensuring accurate DRG assignment, severity of illness, risk of mortality, and case mix data, and monitoring clinical indicators such as HACs, PSI, mortality, etc. You will adhere to all coding and clinical documentation improvement guidelines endorsed by ACDIS and AHIMA, following AHIMA guidelines and Health Information Associates policies and procedures.
* This is a remote/work from home position *
Please be aware that this role is continuously open for hiring throughout the year. If you decide to apply, our recruiting team will review your information and get in touch with you if your background aligns with any current or future openings.
Responsibilities
- Adhere to all coding and clinical documentation improvement guidelines endorsed by ACDIS and AHIMA.
- Analyze records for potential query opportunities, appropriate DRG assignment, severity of illness, risk of mortality, and case mix data, as well as clinical indicators (HACs, PSI, mortality, etc.)
- Research, analyze, and respond to inquiries regarding queries issued and their compliance, potential coding errors, diagnoses at risk for denials, and reconciliation of CDI reviewed charts.
- Conduct clinical documentation reviews and audits as assigned meeting productivity standards set by record type for each project or client.
Qualifications
- Recognized CDI credential (CCDS preferred)
- Current active RN license
- Current AHIMA or AAPC coding credential, preferred
- Three or more years of experience working as a clinical documentation specialist
- Three or more years of clinical experience in an acute care setting
