CDI Specialist: Drive Accurate Coding & Documentation

US104 Guidehouse Managed Services LLC; Los Angeles (CA); Hybrid; USD 74,000 - 124,000; Full time

Benefits offered by this job

Medical, Rx, Dental & Vision Insurance

401(k) Retirement Plan

Parental Leave

Tuition Reimbursement

Employee Referral Program

Corporate Sponsored Events

Job summary

Guidehouse is seeking a CDI Specialist to perform comprehensive secondary clinical chart reviews to identify missed opportunities for documentation clarification. You will collaborate with Coders, Educators, Case Managers and Providers to ensure documentation reflects severity of illness and aligns with CMS standards.

Responsibilities include daily concurrent reviews of inpatient records, initial code assignment for DRG, CDI data entry, and physician query follow-up.

Qualifications

• Bachelor's degree required.
• RN, MD, or MD Equivalent (MBBS) required.
• 4+ years' experience providing direct patient care in inpatient settings.
• 2+ years CDI experience.
• Familiarity with encoder and DRG assignment.
• Knowledge of official coding guidelines and coding clinics.

Responsibilities

• Conduct comprehensive secondary clinical chart reviews to identify documentation clarification opportunities.
• Collaborate with Coders, Coding Educators, Coding Quality Auditors, Case managers, Quality Department and Providers.
• Perform daily concurrent review of inpatient records to ensure complete documentation at discharge.
• Submit CDI data entries and update working DRG as documentation supports.
• Initiate compliant physician queries and follow up with MD for responses.

Skills

Clinical experience

CDI knowledge

Encoder familiarity

EHR proficiency

Interdisciplinary collaboration

Education

Bachelor's degree

RN/MD or MD Equivalent

Tools

CDI software systems

Encoders

EHR systems

Job description

Guidehouse is seeking a CDI Specialist to perform comprehensive secondary clinical chart reviews to identify missed opportunities for documentation clarification. You will collaborate with Coders, Educators, Case Managers and Providers to ensure documentation reflects severity of illness and aligns with CMS standards.

Responsibilities include daily concurrent reviews of inpatient records, initial code assignment for DRG, CDI data entry, and physician query follow-up.