Clinical Documentation Integrity (CDI) Specialist

📋 Description

• Conduct comprehensive initial and follow-up concurrent reviews of inpatient medical records
• Identify incomplete, conflicting, or clinically unclear documentation and determine appropriate
• Apply clinical validation principles and current ACDIS/AHIMA compliant query guidelines when
• Develop compliant queries using approved templates and ensure that relevant, patient-specific
• Identify principal and secondary diagnoses and significant procedures to establish and update the
• Monitor documentation throughout concurrent reviews and update working DRGs and expected

🎯 Requirements

• Bachelor’s degree preferred; relevant professional experience or an advanced degree may substitute
• Current and active credentials as an RN, MD or equivalent, RHIA, RHIT, or CCS.
• At least 2 years of acute-care inpatient hospital coding or CDI experience.
• Familiarity with encoder systems and MS-DRG assignment.
• Current working knowledge of official coding guidelines and Coding Clinic resources.
• Strong clinical understanding of disease processes and the ability to apply clinical indicators

🎁 Benefits

• Annual salary range of $68,000–$113,000 USD.
• Compensation may vary based on skills, experience, training, licensure, certifications, and other
• Medical, prescription, dental, and vision insurance.
• Personal and family sick time.
• Company-paid holidays.
• Potential eligibility for a discretionary variable incentive bonus.