Clinical Documentation Integrity Specialist (CDI Specialist)

GeBBS Healthcare Solutions; Pasig; On-site; PHP 450,000 - 650,000; Full time

Job summary

GeBBS Healthcare Solutions in the Philippines seeks a CDI specialist with a clinical nursing background to review inpatient and outpatient records, identify documentation gaps, and collaborate with physicians and coders to clarify diagnoses and procedures.

You will initiate physician queries, ensure documentation supports ICD-10 coding, educate providers on best practices, and track CDI metrics to improve quality and compliance.

Qualifications

• Review inpatient/outpatient records to identify documentation gaps and opportunities for improvement.
• Collaborate with physicians, coders, and clinical staff to clarify diagnoses and procedures.
• Initiate and follow up on physician queries per compliant guidelines.
• Ensure documentation supports accurate ICD10CM/PCS coding, Reassignment, SOI, ROM, and quality metrics.
• Educate providers on documentation best practices and regulatory requirements.
• Track and report CDI metrics such as query response rates.

Responsibilities

• Review inpatient and outpatient records to spot documentation gaps.
• Collaborate with physicians and coders to clarify diagnoses and procedures.
• Initiate physician queries and follow up per guidelines.
• Educate providers on documentation best practices.
• Track and report CDI metrics.

Skills

Communication

Clinical reasoning

Education

USRN (Registered Nurse)

Job description

• Review inpatient and/or outpatient medical records to identify documentation gaps and opportunities for improvement
• Collaborate with physicians, coders, and clinical staff to clarify diagnoses, procedures, and clinical indicators
• Initiate and follow up on physician queries in accordance with compliant query guidelines
• Ensure documentation supports accurate ICD10CM/PCS coding, Reassignment, SOI, ROM, and quality metrics
• Educate providers on documentation best practices and regulatory requirements
• Track and report CDI metrics such as query response rates

Qualifications

• USRN with a strong clinical background
• 1+ years of experience in CDI with medical coding, or clinical documentation review
• Excellent written and verbal communication skills