CDI Nurse Specialist: Documentation & Risk Adjustment

Tendo; United States; Remote; USD 90,000 - 120,000; Full time

Job summary

Tendo is seeking a CDI Nurse to perform real-time clinical documentation and risk adjustment review for our QDI services customers. The role requires deep expertise in acute-care documentation, risk adjustment methodology, and the ability to translate complex clinical detail into compliant provider queries.

Responsibilities include reviewing inpatient cases, developing physician-facing queries, prioritizing a daily queue, and participating in provider education and quality calibration.

Qualifications

• 6+ years of CDI/QDI experience.
• 6+ years of acute-care nursing experience.
• Active RN license, in good standing.
• CCDS certification.
• Epic experience.
• Working knowledge of HCCs, Elixhauser comorbidities, and quality risk adjustment methodology.
• Direct experience communicating and educating physicians and APPs on documentation opportunities.
• Must be able to work independently and manage a queue with minimal oversight.
• Excellent written and verbal communication skills.

Responsibilities

• Conduct QDI review of assigned inpatient cases, identifying clinically supported documentation opportunities in real time.
• Develop and follow up on compliant, physician-facing documentation queries.
• Communicate directly with physicians and APPs regarding documentation and quality risk adjustment opportunities.
• Manage and prioritize an assigned daily review queue to meet turnaround expectations.
• Participate in provider education activities related to clinical documentation, risk adjustment, and quality outcomes.
• Contribute to reviewer calibration and quality assurance activities.
• Support customer-specific workflows and initiatives as new health system partners onboard.

Skills

CDI/QDI experience

Acute-care nursing

RN license

CCDS certification

Epic experience

HCCs & Elixhauser knowledge

Physician/APP education

Independent work

Written/verbal communication

Tools

Epic Systems

HCC coding

Job description

Tendo is seeking a CDI Nurse to perform real-time clinical documentation and risk adjustment review for our QDI services customers. The role requires deep expertise in acute-care documentation, risk adjustment methodology, and the ability to translate complex clinical detail into compliant provider queries.

Responsibilities include reviewing inpatient cases, developing physician-facing queries, prioritizing a daily queue, and participating in provider education and quality calibration.