CDI Specialist II
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Job Location:
Rochester, NH - USA
Monthly Salary:
Not Disclosed
Posted on:
16-10-2025
Vacancies:
1 Vacancy
Department:
Job Summary
Reviews inpatient and/or outpatient medical records to ensure accurate representation of severity of illness. Validates that clinical documentation supports medical necessity of services and accurate coding. Ensures documentation reflects patients clinical status risk of mortality and care complexity. Applies advanced knowledge of disease processes pathophysiology medications and critical thinking to identify documentation gaps. Identifies opportunities for improvement in concurrent and retrospective documentation. Ensures compliance with regulatory standards related to documentation coding and billing. Collaborates with physicians coders case managers nurses and other staff to improve documentation quality. Acts as an educator and resource to clinical staff promoting best practices in documentation. Acts as a change agent for improved documentation and enhanced documentation practices. May perform ICDI DRG Secondary Reviews as well as support audit and denial related activities. Maintains compliance with ethical legal and coding standards. Applies advanced clinical knowledge and expertise from the Certified Coding Specialist (CCS) or Certified Inpatient Coder (CIC) certification to accurately assign inpatient codes ensuring compliance with coding guidelines and supporting optimal reimbursement. Collaborates with clinical teams to clarify documentation and enhance coding accuracy. May be asked to perform secondary mortality reviews. Demonstrates strong analytical thinking and problem-solving skills. Communicates effectively both verbally and in writing with physicians leadership and interdisciplinary teams. Self-motivated with the ability to work independently and without close supervision. Works collaboratively in a dynamic team-oriented environment. Must be able to work flexible hours including evenings and weekends as needed to meet business demands.
This is a full remote position. Incumbent must live within the United States.
Mayo Clinic will not sponsor or transfer visas for this position including F1 OPT STEM.
Qualifications
Associates and 3 years of experience as an Inpatient Clinical Documentation Improvement Specialist (CDIS) required.
CERTIFICATIONS (Both areas below required):
Certified Documentation Improvement Practitioner (CDIP) OR Certified Clinical Documentation Specialist (CCDS) certification
Certified Coding Specialist (CCS) AHIMA certification OR Certified Inpatient Coder (CIC) AAPC certification
Required Experience:
IC
Key Skills
- Sales Experience
- Crane
- Customer Service
- Communication skills
- Heavy Equipment Operation
- Microsoft Word
- Case Management
- OSHA
- Team Management
- Catheterization
- Microsoft Outlook Calendar
- EHS
About Company
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