CDI QA Reviewer & Educator (Remote)

washingtonhospital; Fremont (CA); Remote; USD 140,000 - 210,000; Full time

Job summary

Washington Hospital is seeking a CDI QA Reviewer & Educator to strengthen documentation quality across the organization through audits, education, and expert guidance. You will review medical record documentation and CDI workups, ensure ICD-10-CM/PCS and DRG alignment, and support compliant, defensible documentation.

The role supports physician documentation quality, DRG accuracy, and clinical clarity by educating CDI specialists and providers.

Qualifications

• Minimum of 8 years of CDI and coding/DRG assignment experience in acute care hospitals.
• Minimum of 3 years of experience performing internal CDI and coding reviews and providing clinical education.
• Preferred: 10 years of CDI and coding/DRG assignment experience in acute care hospitals; 5 years of review/education experience.

Responsibilities

• Audit routine and ad hoc CDI reviews of provider documentation for accuracy and compliance.
• Validate ICD-10-CM/PCS, DRG assignment, and coding alignment with clinical evidence and UHDDS/CMS requirements.
• Identify documentation trends, variances, and opportunities for improvement across CDI teams.
• Maintain audit tools, track performance metrics, and present findings to CDI leadership.
• Support retrospective audits and system-wide initiatives.
• Develop and deliver CDI education programs for onboarding and ongoing training.

Skills

CDI reviews

DRG assignment

ICD-10-CM/PCS

Educational coaching

Cross-functional collaboration

Education

Bachelor's degree in Nursing or related healthcare field

Master’s degree in Nursing, Education, or Healthcare Management

Job description

Washington Hospital is seeking a CDI QA Reviewer & Educator to strengthen documentation quality across the organization through audits, education, and expert guidance. You will review medical record documentation and CDI workups, ensure ICD-10-CM/PCS and DRG alignment, and support compliant, defensible documentation.

The role supports physician documentation quality, DRG accuracy, and clinical clarity by educating CDI specialists and providers.