CDI Quality Reviewer – Clinical Documentation Integrity

Memorial Hermann Health System; Houston (TX); On-site; USD 75,000 - 105,000; Full time

Job summary

Memorial Hermann Health System in Houston, TX seeks a CDI Quality Reviewer to perform comprehensive secondary clinical chart reviews and collaborate with clinicians to improve documentation accuracy and completeness. The role bridges Coding and CDI to resolve DRG discrepancies and support CMS and regulatory standards.

Requires a Bachelor's of Nursing with 3+ years CDI experience; a Texas license is required, with CCDS, CDIP, or CCS certifications preferred.

Qualifications

• Three (3) years of Clinical Documentation Integrity (CDI) experience required.
• Bachelor's of Nursing is required; Master's Degree in Nursing or Management preferred.
• Current Texas nursing license or compact license.

Responsibilities

• Perform comprehensive secondary clinical chart reviews to identify documentation clarification opportunities.
• Liaise between coding and CDI to resolve DRG or code discrepancies.
• Educate CDI team based on second-level review opportunities with providers.
• Collaborate with clinicians to improve documentation quality and risk adjustment reflected in charts.

Skills

CDI experience

AHIMA ICD-10-CM/PCS

Epic EMR

MS Office (Word, Excel, Outlook)

Communication skills

Analytical skills

Problem solving

Organizational skills

Education

BSN

MS in Nursing or Management

Tools

3M Coding & Reimbursement

Epic EMR

MS Office Suite

Job description

Memorial Hermann Health System in Houston, TX seeks a CDI Quality Reviewer to perform comprehensive secondary clinical chart reviews and collaborate with clinicians to improve documentation accuracy and completeness. The role bridges Coding and CDI to resolve DRG discrepancies and support CMS and regulatory standards.

Requires a Bachelor's of Nursing with 3+ years CDI experience; a Texas license is required, with CCDS, CDIP, or CCS certifications preferred.