Remote CDI Specialist - Clinical Documentation Integrity

HCM Nexus Consulting Inc; Philippines; On-site; PHP 670,000 - 1,116,000; Full time

Job summary

HCM Nexus Consulting Inc. is seeking an experienced Clinical Documentation Integrity Specialist to support accurate and compliant clinical documentation practices within a U.S. healthcare setting.

The role requires strong inpatient CDI experience and knowledge of ICD-10 coding guidelines and DRG reimbursement. The position is full-time, remote, and suitable for candidates with an RN license and CCDS/CDIP credentials.

Qualifications

• Active Philippine RN license required.
• Minimum 3 years CDI experience.
• Minimum 3 years adult acute care bedside experience in Med/Surg/ICU/ER/PACU.
• CCDS and/or CDIP certification required.
• Coding credentials such as CCS, CPC, or CCS-P preferred.
• Strong understanding of ICD-10 guidelines and DRG reimbursement.
• Experience in U.S. healthcare, CDI review, or coding is an advantage.
• Excellent analytical, communication, and documentation review skills.
• Ability to work independently in a remote setup while meeting productivity and quality expectations.

Responsibilities

• Review inpatient medical records to ensure documentation accuracy and compliance.
• Conduct concurrent and retrospective chart reviews to identify gaps.
• Collaborate with physicians, coders, case managers, and clinical teams to improve documentation quality.
• Issue physician queries to clarify diagnoses, procedures, SOI, and ROM.
• Ensure accurate DRG assignment and reimbursement optimization while maintaining standards.
• Apply ICD-10 guidelines, CMS regulations, and payer requirements.
• Support quality improvement initiatives related to CDI and coding accuracy.
• Monitor trends and provide recommendations for documentation improvement.
• Participate in audits, QA activities, and educational sessions related to CDI processes.
• Maintain productivity and quality metrics in a fast-paced remote work environment.

Skills

Analytical skills

Communication skills

Independent worker

Medical coding knowledge

Tools

EHR systems

encoder tools

ICD-10 coding guidelines

Job description

HCM Nexus Consulting Inc. is seeking an experienced Clinical Documentation Integrity Specialist to support accurate and compliant clinical documentation practices within a U.S. healthcare setting.

The role requires strong inpatient CDI experience and knowledge of ICD-10 coding guidelines and DRG reimbursement. The position is full-time, remote, and suitable for candidates with an RN license and CCDS/CDIP credentials.