Remote Inpatient Clinical Documentation Improvement (CDI) Specialist
Remote Inpatient Clinical Documentation Improvement (CDI) Specialist
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Job Description
This is a remote position.
We are seeking a detail-oriented and experienced Inpatient Clinical Documentation Integrity (CDI) Specialist I to join our remote team. This role is essential in supporting our client s CDI program with a special focus on reconciliation of prior reviews weekend case coverage and follow-up documentation across all service lines.
The ideal candidate will have a strong background in risk adjustment coding concurrent inpatient CDI review and be comfortable working independently in a production-driven environment. This position requires flexibility to work weekend shifts (e.g. Friday Tuesday Saturday Wednesday or Thursday Monday) and is fully remote with residency required in one of the approved U.S. states.
Key Responsibilities:
- Conduct concurrent reviews of inpatient medical records to ensure accurate and complete documentation.
- Prioritize reconciliation of previous CDI reviews and ensure continuity of documentation integrity over weekends.
- Query providers for clarification or additional documentation as needed.
- Collaborate with physicians coders and clinical staff to improve documentation quality and accuracy.
- Utilize 3M360 Optum and EPIC systems for chart review and data analysis.
- Monitor documentation trends and identify opportunities for improvement.
- Educate clinical staff on documentation best practices and compliance standards.
- Ensure adherence to all applicable coding guidelines regulations and internal policies.
Requirements
- Education: High School diploma or GED required.
- Certifications (Required): CDIP (Certified Documentation Improvement Practitioner) or CCDS (Certified Clinical Documentation Specialist).
- Licensure (Required One of the following): RHIT RHIA RN RRT CCS CCS-P or an international/domestic medical degree (FMG/MD).
- Experience:
- Minimum 2 years of inpatient CDI experience with concurrent review responsibilities.
- Recent experience (within the last 12 months) in a production-focused CDI role.
- Risk adjustment coding experience strongly preferred.
- Minimum 2 years of inpatient CDI experience with concurrent review responsibilities.
- Technology Skills: Proficiency in EPIC 3M360 and Optum platforms.
- Soft Skills: Strong analytical thinking excellent communication and attention to detail.
- Schedule: 40 hours/week 8-hour shifts with required weekend coverage (e.g. Fri Tues Sat Wed or Thurs Mon).
- Location: Fully remote. Must be US based.
Benefits
Conduct concurrent reviews of inpatient medical records to ensure accurate and complete documentation. Prioritize reconciliation of previous CDI reviews and ensure continuity of documentation integrity over weekends. Query providers for clarification or additional documentation as needed. Collaborate with physicians, coders, and clinical staff to improve documentation quality and accuracy. Utilize 3M360, Optum, and EPIC systems for chart review and data analysis. Monitor documentation trends and identify opportunities for improvement. Educate clinical staff on documentation best practices and compliance standards. Ensure adherence to all applicable coding guidelines, regulations, and internal policies.
Education
Education: High School diploma or GED required. Certifications (Required): CDIP (Certified Documentation Improvement Practitioner) or CCDS (Certified Clinical Documentation Specialist). Licensure (One of the following): RHIT, RHIA, RN, RRT, CCS, CCS-P, or an international/domestic medical degree (FMG/MD). Experience: Minimum 2 years of inpatient CDI experience with concurrent review responsibilities. Recent experience (within the last 12 months) in a production-focused CDI role. Risk adjustment
Employment Type
Full Time
