CDI Specialist: Elevate Documentation & Reimbursement

US104 Guidehouse Managed Services LLC; Birmingham (AL); Hybrid; USD 68,000 - 113,000; Full time

Benefits offered by this job

Health insurance

Holidays and paid time off

Discretionary incentive bonus

Parental Leave

401(k) Retirement Plan

Life insurance

Health Savings Account

Flexible Spending Accounts

Short-Term & Long-Term Disability

Tuition Reimbursement

Job summary

Guidehouse seeks a Clinical Documentation Integrity Specialist to review health records, clarify documentation, and ensure compliant reimbursement. You will work with providers, coding teams, and CDI software to capture accurate diagnoses, MS-DRG assignments, SOI and ROM.

Requires bachelor’s degree and 2+ years CDI or inpatient coding experience; familiarity with encoder tools and DRG assignment is preferred. Travel not required; competitive benefits offered.

Qualifications

• Bachelor’s degree required; relevant experience may substitute.
• RN, MD or MD Equivalent, RHIA, RHIT, CCS with active license preferred.
• 2+ years acute care inpatient hospital coding or CDI experience required.

Responsibilities

• Conducts concurrent reviews of medical records to identify documentation needs.
• Identifies opportunities to clarify documentation and validate diagnoses.
• Prepares compliant physician queries following ACDIS/AHIMA guidelines.
• Assists in assigning MS-DRG, SOI and ROM based on record documentation.
• Tracks physician query responses and maintains productivity and quality benchmarks.
• Collaborates with Coding team on ICD-10 coding and DRG assignment.

Skills

Clinical documentation

Query writing

HIPAA compliance

Education

Bachelor’s degree

RN/MD or equivalent (RHIA/RHIT/CCS)

Tools

Encoder software

DRG systems

Job description

Guidehouse seeks a Clinical Documentation Integrity Specialist to review health records, clarify documentation, and ensure compliant reimbursement. You will work with providers, coding teams, and CDI software to capture accurate diagnoses, MS-DRG assignments, SOI and ROM.

Requires bachelor’s degree and 2+ years CDI or inpatient coding experience; familiarity with encoder tools and DRG assignment is preferred. Travel not required; competitive benefits offered.