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

Manatal; Taguig; Hybrid; PHP 600,000 - 900,000; Full time

Benefits offered by this job

Above-market pay

Day 1 healthcare coverage

Paid time off with cash conversion

Group life insurance

Performance bonuses

Job summary

MicroSourcing in the Philippines is seeking a Clinical Documentation Improvement (CDI) Nurse Specialist – Inpatient for a hybrid night-shift role at BGC, Taguig City. You will review and enhance inpatient documentation to support accurate coding, reimbursement, regulatory compliance, and quality reporting.

You will collaborate with physicians, coders and clinical teams to identify gaps, issue queries, monitor workflows, and drive CDI performance while staying current with AHIMA/ACDIS guidelines.

Qualifications

• BSN and active PHRN or USRN license.
• At least 2 years in inpatient CDI experience.
• 2+ years in acute care hospital setting (ICU/Med-Surg preferred).
• Proficiency with ICD-10-CM/PCS, MS-DRG/APR-DRG, SOI, ROM.
• Experience with Epic, Cerner, or Meditech.
• Excellent English communication (CEFR B2).

Responsibilities

• Review inpatient records to identify documentation gaps and opportunities for improvement.
• Issue physician queries per AHIMA/ACDIS guidelines and ensure timely follow-up.
• Monitor query workflows and compliance metrics.
• Support accurate ICD-10-CM/PCS coding and DRG assignments (MS-DRG/APR-DRG).
• Assist denial prevention through proper documentation and coding.
• Collaborate with clinical denials and appeals teams.
• Track CDI activities and generate performance reports; analyze trends.
• Stay current with coding updates and CDI best practices.

Skills

CDI experience

EMR proficiency

Analytical thinking

Problem solving

Detail-oriented

English proficiency (CEFR B2)

Education

BSN

Nurse license: PHRN/USRN

Tools

Epic EMR

Cerner EMR

Meditech EMR

Microsoft Office

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%!