CDI Second Level Reviewer

AMN Healthcare; Austin (TX); Remote; USD 66,000 - 83,000; Full time

Benefits offered by this job

Medical benefits

Paid time off

Paid holidays

Education time

401(k) retirement plan

Short-term disability

Life insurance

Licensure reimbursement

Job summary

AMN Healthcare is seeking an experienced Clinical/CDI Second Level Reviewer to support accurate documentation and coding prior to billing. This role focuses on pre-bill review of inpatient records using clinical expertise and CDI software tools to ensure proper DRG assignment.

The ideal candidate has 3+ years of CDI or coding experience, RN or HIM background, and familiarity with Iodine AwareCDI/AwareUM and major EHRs like Epic.

Qualifications

• RN (preferred) or HIM with at least 3+ years of second level review experience.
• 3+ years of CDI or coding experience focused on inpatient care.
• Experience conducting pre-bill or second level reviews within a hospital or health system.
• Proficient in Iodine software such as AwareCDI or AwareUM.
• Familiarity with MS-DRG/AP-DRG, ICD-10-CM/PCS coding, and clinical guidelines.
• Familiarity with Epic or other major EHR platforms.
• Strong analytical, attention to detail, and communication abilities.

Responsibilities

• Conduct pre-bill and retro reviews to ensure accurate DRG assignment.
• Utilize Iodine software tools to validate principal and secondary diagnoses, procedures, and comorbidities.
• Collaborate with CDI, HIM, and coding teams to resolve discrepancies prior to claim submission.
• Escalate cases requiring physician queries or documentation improvements.
• Monitor trends and support compliance and quality initiatives.
• Document audit findings and recommendations per regulatory guidelines and facility policies.

Skills

Analytical skills

Communication skills

Second level review

Inpatient coding

Education

RN (preferred) or HIM

Tools

Iodine AwareCDI

Epic EHR

Job description

Job Description & Requirements

CDI Second Level Reviewer

StartDate: 11/9/2026 Pay Rate: $48.00 - $60.00

Job Title: Clinical/CDI Second Level Reviewer / Pre-Bill Auditor

(Remote - Part-time & Full Time)

Overview

Seeking experienced Clinical Second Level Reviewer / Pre-Bill Auditor to support accurate documentation and coding practices that impact reimbursement, quality metrics, and compliance. This role focuses on the pre-bill review of inpatient records, using clinical expertise and advanced technology platforms—including Iodine AwareCDI or AwareUM to ensure accurate DRG assignment, appropriate clinical documentation, and defensible coding prior to final billing.

Key Responsibilities

• Conduct clinical validation reviews of inpatient records pre-bill and Retro to ensure accurate and compliant DRG assignment.
• Utilize Iodine software tools to identify discrepancies and validate principal diagnoses, secondary diagnoses, procedures, and complications/comorbidities.
• Collaborate with CDI, HIM, and coding teams to resolve discrepancies and clarify documentation prior to claim submission.
• Escalate cases that require further review, physician query, or documentation improvement opportunities.
• Monitor trends, identify recurring issues, and support compliance and quality initiatives.
• Maintain thorough documentation of audit findings and recommendations in alignment with regulatory guidelines and facility policies.

Qualifications

• RN (preferred) or HIM (must have at least 3+ years of second level review experience and conversing with CDI)
• Must Have Strong Second Level Review Experience
• Ideal Candidate has Nursing Experience and Has been coding.
• 3+ years of CDI or coding experience with a strong focus on inpatient care.
• Experience conducting pre-bill or second level reviews within a hospital or health system.
• Proficient in Iodine Software such as AwareCDI or AwareUM (preferred)
• Working knowledge of MS-DRG/AP-DRG, ICD-10-CM/PCS coding, and clinical guidelines.
• Familiarity With Epic Or Other Major EHR Platforms Preferred.
• Strong analytical skills, attention to detail, and excellent communication abilities.

Facility Location

Situated among an abundance of lakes, hills and lush greenery, the capital of Texas is home to a diverse culture and is a refuge for outdoor enthusiasts and music lovers. Here you’ll find an abundance of museums, restaurants, historic buildings, and cultural institutions such as universities and government facilities. Known for its vibrant and youthful social life, Austin is also home to Texas’ high-tech corridor and one of the nation’s largest music and film festivals.

Job Benefits

• Medical, dental and vision benefits
• Earned time off and paid holidays
• Paid continuing education time
• 401(K) retirement planning
• Short-term disability, life insurance, paid jury duty
• Access to the largest network of facilities and providers in the country
• Industry experienced workforce management team
• Licensure and certification reimbursement

About The Company

At AMN Healthcare, we strive to be recognized as the most trusted, innovative, and influential force in helping healthcare organizations provide quality patient care that continually evolves to make healthcare more human, more effective, and more achievable.