CDI Specialist: Drive Precise Clinical Documentation

Northwell Health; New York (NY); On-site; USD 90,000 - 120,000; Full time

Job summary

Northwell Health is seeking a CDI Nurse to facilitate and obtain clinical documentation that supports appropriate severity of illness and care complexity. The role involves concurrent inpatient reviews for Medicare, Medicaid, and commercial payers, with follow-up discussions with physicians to clarify ambiguities in documentation.

The successful candidate will work on inpatient units, engage physicians on documentation queries, and ensure compliant coding practices while contributing to

Qualifications

• Graduate from an accredited School of Nursing.
• Must obtain BSN within five years of employment.
• Current RN license in any US state, plus needed certifications.

Responsibilities

• Clarify clinical documentation to ensure accurate coding and level of service.
• Collaborate with physicians to obtain and document appropriate information.
• Perform concurrent inpatient medical record reviews for payers.
• Enter outcome data and document revenue impact of findings.
• Educate medical staff on opportunities to improve documentation.

Skills

Nursing

RN License

Clinical documentation

CCEDS/CCS

Education

BSN within 5 years

Accredited School of Nursing

Job description

Northwell Health is seeking a CDI Nurse to facilitate and obtain clinical documentation that supports appropriate severity of illness and care complexity. The role involves concurrent inpatient reviews for Medicare, Medicaid, and commercial payers, with follow-up discussions with physicians to clarify ambiguities in documentation.

The successful candidate will work on inpatient units, engage physicians on documentation queries, and ensure compliant coding practices while contributing to