Inpatient Clinical Documentation Integrity Specialist

Connext; Philippines; Remote; PHP 670,000 - 1,004,000; Full time

Benefits offered by this job

Competitive compensation

Perfect Attendance Bonus

Life insurance

HMO Insurance

Great company culture

Annual Merit Increase

Night differential 25%

Signing bonus Php 10,000

Work from home - company provided gear

Job summary

Connext is seeking an Inpatient CDI Specialist to work with a U.S. client from the Philippines. The role reviews inpatient records to ensure diagnoses, treatments, and risk align with documentation, and to identify gaps for compliant physician queries.

You will collaborate with clinicians and coders to support accurate coding, quality reporting, and reimbursement while maintaining CDI quality and participating in audits. Remote work is offered.

Qualifications

• Minimum of four (4) years of bedside nursing experience or at least three (3) years of ICU/ED/OR exposure with UR/CDI awareness.
• Experience using electronic health record (EHR) systems to review clinical documentation.
• Experience developing physician queries and resolving clinical documentation gaps.
• Strong knowledge of ICD-10-CM/PCS, DRG, SOI, ROM, CCs, and MCCs.
• Strong clinical judgment, analytical skills, and attention to detail.

Responsibilities

• Review inpatient medical records for accuracy, completeness, and clinical consistency.
• Identify missing, conflicting, or unclear clinical documentation.
• Develop compliant physician queries to clarify clinical documentation.
• Evaluate diagnoses, procedures, severity of illness (SOI), risk of mortality (ROM), complications, and comorbidities.
• Support accurate ICD-10-CM/PCS coding and DRG assignment through clinically supported documentation.
• Collaborate with physicians, coders, and clinical teams to resolve documentation questions.
• Monitor CDI quality, productivity, and query performance metrics.
• Participate in audits and quality improvement activities.
• Provide guidance and mentoring to other CDI specialists as needed.
• Follow applicable AHIMA, ACDIS, CMS, and organizational CDI guidelines.

Skills

Nursing experience

Clinical documentation

Analytical skills

Attention to detail

Education

RN (Registered Nurse) license

Tools

EHR systems

Physician queries

Job description

Connext Global Solutions is a dedicated team of business process outsourcing experts and innovators, with experience in supporting world-class companies in Title and Escrow, Healthcare, Produce Distribution, Retail and Fashion, Design Consulting, and Finance.

We are currently looking for an Inpatient CDI Specialist who will be working with Connext's Client in the United States of America.

What's in it for you?

• Competitive compensation
• Perfect Attendance Bonus
• Life insurance
• HMO Insurance
• Great company culture
• Annual Merit Increase
• 25% Night Differential
• Signing bonus Php 10,000
• Work from home - company provided equipment

What is the job?

The Inpatient CDI Specialist is responsible in reviewing inpatient medical records to ensure clinical documentation accurately reflects the patient's diagnoses, treatment, severity, and risk of mortality. The role identifies documentation gaps, develops compliant physician queries, and collaborates with clinical and coding teams to support accurate coding, quality reporting, and reimbursement.

• Review inpatient medical records for accuracy, completeness, and clinical consistency.
• Identify missing, conflicting, or unclear clinical documentation.
• Develop compliant physician queries to clarify clinical documentation.
• Evaluate diagnoses, procedures, severity of illness (SOI), risk of mortality (ROM), complications, and comorbidities.
• Support accurate ICD-10-CM/PCS coding and DRG assignment through clinically supported documentation.
• Collaborate with physicians, coders, and clinical teams to resolve documentation questions.
• Monitor CDI quality, productivity, and query performance metrics.
• Participate in audits and quality improvement activities.
• Provide guidance and mentoring to other CDI specialists as needed.
• Follow applicable AHIMA, ACDIS, CMS, and organizational CDI guidelines.

Required Qualifications:

• Minimum of four (4) years of bedside nursing experience or at least three (3) years of experience in ICU, ED, or OR exposure, with awareness of utilization review (UR) or CDI.
• Experience using electronic health record (EHR) systems to review clinical documentation.
• Experience developing physician queries and resolving clinical documentation gaps.
• Demonstrates strong knowledge of ICD-10-CM/PCS, DRG, SOI, ROM, CCs, and MCCs.
• Demonstrates strong clinical judgment, analytical skills, and attention to detail.