CDI Specialist: Elevate Inpatient Documentation Quality

Santa Barbara Cottage Hospital; United States; Remote; USD 78,000 - 112,000; Full time

Job summary

Eemanate Health is seeking a Clinical Documentation Integrity Specialist (CDIS) to ensure accurate clinical documentation and appropriate DRG assignment within inpatient care. You will discuss with providers to resolve missing or unclear diagnoses and apply CDI best practices.

The role emphasizes MS-DRG/APR-DRG assignments, SOI/ROM assessment, and identification of relevant indicators. Prior inpatient coding/CDIS experience and CCD/CDIP certification within 1 year are valued.

Qualifications

• Bachelor’s degree preferred.
• Minimum 1 year inpatient coding and/or CDI experience.
• Strong knowledge of MS-DRG, APR-DRG, ICD-10-CM/PCS guidelines.
• Experience using encoder and electronic health record systems.
• Excellent verbal and written communication; strong analytical skills.
• CCD/ CDIP certification within 1 year of hire/transfer.

Responsibilities

• Facilitate quality, completeness, and accuracy of clinical documentation.
• Query providers to address missing or unclear diagnoses.
• Assign MS-DRG/APR-DRG, SOI, ROM and identify HACs/PSIs.
• Ensure queries comply with AHIMA/ACDIS guidelines and CDI ethics.

Skills

MS-DRG knowledge

APR-DRG knowledge

ICD-10-CM/PCS

EHR systems

Communication

Education

Bachelor's degree

Tools

Encoder

EHR

Job description

Eemanate Health is seeking a Clinical Documentation Integrity Specialist (CDIS) to ensure accurate clinical documentation and appropriate DRG assignment within inpatient care. You will discuss with providers to resolve missing or unclear diagnoses and apply CDI best practices.

The role emphasizes MS-DRG/APR-DRG assignments, SOI/ROM assessment, and identification of relevant indicators. Prior inpatient coding/CDIS experience and CCD/CDIP certification within 1 year are valued.