CDI Manager - Fully Remote | Upto $84/hr

mercor; United States; À distance; USD 240 694 000 - 267 254 000; Plein temps

Résumé du poste

Mercor in the United States seeks a Clinical Documentation Integrity Leader to drive CDI programs for inpatient and outpatient settings in a fully remote contract role.

You will oversee concurrent and retrospective reviews, evaluate AI-generated documentation, manage physician queries, ensure accurate diagnoses and DRG capture, and partner with coding, compliance, and clinical teams to close documentation gaps.

Qualifications

• Minimum 5 years in CDI/CI with 2+ in leadership.
• Deep knowledge of MS-DRG, CC/MCC hierarchies, ICD-10-CM/PCS.
• Expertise in physician query management per AHIMA/ACDIS.
• Strong clinical background for medical record interpretation.
• Proficient with CDI platforms (3M/Nuance/Optum360) and EHR.
• Excellent written and spoken English.
• Ability to work independently in a remote setting.

Responsabilités

• Lead CDI programs for inpatient and outpatient settings; oversee concurrent and retrospective review workflows.
• Evaluate AI-generated clinical documentation improvement suggestions, physician queries, and coding recommendations.
• Conduct and review clinical documentation; ensure accurate capture of diagnoses, procedures, severity of illness, and risk of mortality.
• Develop and manage physician query processes; align with AHIMA and ACDIS guidelines.
• Monitor CDI program KPIs including query response rates, CC/MCC capture rates, case mix index, and DRG accuracy.
• Collaborate with coding, compliance, and clinical teams; address documentation gaps and improve query processes.

Connaissances

Clinical documentation

Leadership

Query management

AI evaluation

Medical records interpretation

English communication

Formation

RN

RHIA

CCS

CDIP

CCDS

Outils

3M CDI

Nuance

Optum360

EHR systems

Description du poste

About the job Mercor connects elite creative and technical talent with leading AI research labs. Headquartered in San Francisco, our investors include Benchmark , General Catalyst , Peter Thiel , Adam D'Angelo , Larry Summers , and Jack Dorsey . Position: Clinical Documentation Integrity (CDI) Leader Type: Contract Compensation: $84/hour Location: Remote

Responsibilities

• Lead clinical documentation integrity programs for inpatient and outpatient settings. Oversee concurrent and retrospective review workflows.
• Evaluate AI-generated clinical documentation improvement suggestions, physician queries, and coding recommendations. Ensure clinical accuracy and compliance.
• Conduct and review clinical documentation. Ensure accurate capture of diagnoses, procedures, severity of illness, and risk of mortality.
• Develop and manage physician query processes. Align with AHIMA and ACDIS guidelines.
• Monitor CDI program KPIs including query response rates, CC/MCC capture rates, case mix index, and DRG accuracy.
• Collaborate with coding, compliance, and clinical teams. Address documentation gaps and improve query processes.

Qualifications Must-Have

• 5+ years of experience in clinical documentation integrity or improvement. At least 2 years in a manager or leadership role.
• Deep knowledge of MS-DRG methodology , CC/MCC hierarchies , and ICD-10-CM/PCS coding guidelines .
• Expertise in physician query management per AHIMA and ACDIS compliant query standards.
• Strong clinical background. Ability to interpret medical records and clinical documentation.
• Proficiency with CDI software platforms (3M, Nuance , Optum360 , or equivalent) and EHR systems .
• Exceptional written and verbal English communication skills.
• High attention to detail. Ability to critically evaluate clinical documentation and AI-generated outputs .
• Comfortable working independently in a fully remote environment.

Preferred

• CCDS (Certified Clinical Documentation Specialist) or CDIP (Clinical Documentation Improvement Practitioner) credential.
• Experience with HCC risk adjustment and outpatient CDI programs.
• Background in RN , RHIA , CCS , or similar clinical or coding credential.
• Familiarity with AI-assisted CDI tools (e.g., Nuance DAX , 3M M*Modal ) and comfort evaluating AI-generated clinical content .
• Experience presenting CDI performance metrics to clinical and executive leadership.