As a CDI Specialist you will review clinical documentation in electronic health records to ensure accuracy completeness and compliance with coding standards. You will issue compliant queries to physicians and collaborate with internal teams to support documentation integrity.
- Perform concurrent reviews of inpatient records using EHR platforms (e.g. Iodine Epic)
- Identify documentation gaps and issue compliant patient-specific queries
- Apply knowledge of DRG classification ICD-10-CM/PCS and coding guidelines.
- Maintain accurate logs of reviews query status and follow-ups in designated systems.
- Achieve productivity and quality benchmarks under the CDI program.
Education & Experience:
- Bachelors degree in Life Sciences or equivalent
- 3 6 years of experience in medical coding or CDI in an acute care or RCM setting (some type of coding experience required; in-patient coding experience highly preferred)
- Proficiency with ICD-10 DRG grouping and query compliance practices
- Strong communication analytical and clinical interpretation skills
- Certified Clinical Documentation Specialist (CCDS/CDIP) or AHIMA/AAPC credential - Added Advantage.