CDI Second-Level Reviewer: Clinical Documentation Integrity

Guidehouse; United States; On-site; USD 89,000 - 148,000; Full time

Benefits offered by this job

Medical, Dental & Vision Insurance

401(k) Retirement Plan

Paid Holidays

Tuition Reimbursement

Job summary

Guidehouse is seeking a CDI Second Level Reviewer to conduct comprehensive chart reviews and ensure accurate reflection of patient care in line with Official Coding Guidelines and CMS standards.

The role collaborates with CDI educators, physicians, coders, and quality teams to improve documentation quality, risk of mortality assessment, and compliance across patient records. Strong communication and adaptability are essential for this dynamic position.

Qualifications

• BSN/ADN nursing degree or MD/DO with relevant licensure.
• Current licensure as RN/MD or AHIMA credentials (CCS, RHIA, RHIT) with CDIP or CCDS.
• 4–6 years experience in clinical documentation, CDI reviews or DRG validation.
• Must maintain credentials while employed.

Responsibilities

• Analyze clinical data to identify gaps and ensure documentation aligns with guidelines and CMS standards.
• Collaborate with CDI team, physicians, coders, and quality staff to ensure accurate DRG assignment.
• Document and track secondary reviews and provide feedback during education sessions.
• Ensure queries comply with AHIMA guidelines and best practices.

Skills

Communication skills

Critical thinking

Encoder DRG

Coding guidelines

Education

RN or MD with credentials

Tools

EHR systems

CDI software

Encoders

Job description

Guidehouse is seeking a CDI Second Level Reviewer to conduct comprehensive chart reviews and ensure accurate reflection of patient care in line with Official Coding Guidelines and CMS standards.

The role collaborates with CDI educators, physicians, coders, and quality teams to improve documentation quality, risk of mortality assessment, and compliance across patient records. Strong communication and adaptability are essential for this dynamic position.