Clinical Documentation Improvement Nurse Specialist – IP | Hybrid, Night shift

MicroSourcing; Philippines; On-site; PHP 900,000 - 1,100,000; Full time

Benefits offered by this job

Healthcare coverage on Day 1 for you &

one or more dependents

Paid time off with cash conversion

Group life insurance

Performance bonuses

Job summary

MicroSourcing in the Philippines invites experienced Healthcare CDI professionals to join as Clinical Documentation Improvement (CDI) Nurse Specialist - Inpatient at its BGC, Taguig City campus, with a Hybrid work setup and Night shifts.

You will review inpatient records, query physicians per AHIMA/ACDIS, support ICD-10 coding accuracy, and collaborate with clinical teams to ensure compliant, complete documentation while driving quality reporting and reimbursement.

Qualifications

• BSN with active Philippine RN or US RN license.
• Minimum 2 years inpatient CDI experience.
• Experience with ICD-10-CM/PCS coding and DRG methods.
• Proficient in English with strong written/verbal communication.

Responsibilities

• Perform concurrent and retrospective reviews of inpatient records to identify documentation gaps.
• Issue compliant physician queries per AHIMA/ACDIS guidelines and track resolutions.
• Monitor query workflows and documentation compliance metrics.
• Support accurate ICD-10-CM/PCS coding and DRG assignment with clinical teams.
• Assist denial prevention by ensuring documentation supports medical necessity.
• Collaborate with denials/appeals teams to resolve payer issues.
• Track CDI activities and generate performance reports for process improvements.
• Maintain compliance with regulatory standards and ongoing coding updates.

Skills

Inpatient CDI experience

AHIMA/ACDIS guidelines

English communication

Analytical thinking

Education

BSN

PHRN or USRN license

Tools

Epic

Cerner

Meditech

Job description

Discover your 100% YOU with MicroSourcing! Position: Clinical Documentation Improvement (CDI) Nurse Specialist - Inpatient Location: BGC, Taguig City Work setup & shift: Hybrid | Night Shift Why join MicroSourcing? You'll Have Competitive Rewards: Enjoy above-market compensation, healthcare coverage on Day 1 for you and one or more dependents, paid time off with cash conversion, group life insurance, and performance bonuses. A Collaborative Spirit: Contribute to a positive and engaging work environment by participating in company-sponsored events and activities. Work-Life Harmony: Enjoy the balance between work and life that suits you with flexible work arrangements. Career Growth: Take advantage of opportunities for continuous learning and career advancement. Inclusive Teamwork: Be part of a team that celebrates diversity and fosters an inclusive culture. Your Role As a Clinical Documentation Improvement (CDI) Nurse Specialist - Inpatient, you will review and improve the quality, accuracy, and completeness of inpatient clinical documentation to support accurate coding, reimbursement, regulatory compliance, quality reporting, and denial prevention. You will collaborate with physicians, coders, and clinical teams to ensure the patient's clinical picture is accurately represented. Specifically, You Will

• Perform concurrent and retrospective reviews of inpatient medical records to identify documentation gaps, inconsistencies, and opportunities for improvement.
• Issue compliant physician queries in accordance with AHIMA and ACDIS guidelines and ensure timely follow-up and resolution.
• Monitor and maintain query workflows, physician response rates, and documentation compliance metrics.
• Collaborate with coding teams to support accurate ICD-10-CM/PCS coding, MS-DRG and APR-DRG assignment, Severity of Illness (SOI), and Risk of Mortality (ROM) capture.
• Support denial prevention initiatives by ensuring documentation supports clinical validity, medical necessity, and reimbursement requirements.
• Partner with clinical denials and appeals teams to resolve documentation-related payer denials.
• Track CDI activities, generate performance reports, analyze trends, and recommend process improvements.
• Maintain compliance with regulatory standards while staying current on coding updates, documentation guidelines, and CDI best practices.

What You Need Non-negotiables

• Bachelor of Science in Nursing (BSN).
• Active Philippine Registered Nurse (PHRN) or US Registered Nurse (USRN) license.
• Minimum of 2 years of inpatient Clinical Documentation Improvement (CDI) experience.
• Minimum of 2 years of acute care hospital experience (ICU and/or Medical-Surgical preferred).
• Working knowledge of ICD-10-CM/PCS coding, MS-DRG methodology, APR-DRG, SOI, ROM, and risk adjustment.
• Experience using hospital EMR systems such as Epic, Cerner, or Meditech.
• Excellent written and verbal English communication skills (minimum CEFR B2 proficiency).
• Strong analytical, critical thinking, and problem-solving skills with exceptional attention to detail.

Preferred Skills/expertise

• CCDS, CDIP, CCS, or other Clinical Documentation Improvement/Coding certifications.
• Master's degree in Nursing, Healthcare, Business, or a related field.
• Experience using CDI and coding technology platforms.
• Proficiency with Microsoft Office (Excel, Word, PowerPoint, Outlook, and SharePoint).
• Strong understanding of AHIMA and ACDIS documentation guidelines and regulatory standards.
• Experience in physician education, documentation improvement initiatives, and matrixed healthcare environments.
• Ability to work independently while collaborating effectively with multidisciplinary clinical and revenue cycle teams.

About MicroSourcing With over 9,000 professionals across 13 delivery centers, MicroSourcing is the pioneer and largest offshore provider of managed services in the Philippines. Our commitment to 100% YOU MicroSourcing firmly believes that our company's strength lies in the diversity and talent of our people. We are proud to foster an inclusive culture that embraces individuals of all races, genders, ethnicities, abilities, and backgrounds. We create opportunities for everyone to thrive by embracing different perspectives and fostering an inclusive workplace. At MicroSourcing, equality is more than a slogan - it's our commitment and our way of life. Here, we don't just accept your authentic self-wecelebrate it, recognizing every individual's contribution to our collective success and growth. Join us in celebrating YOU and your 100%!