CDI Specialist: Elevate Medical Documentation

LCMC Health; United States; On-site; USD 65,000 - 90,000; Full time

Job summary

LCMC Health seeks a CDI Specialist to optimize clinical documentation for accurate coding and reimbursement. The role involves educating physicians, nurses, and coders, and participating in concurrent and retrospective reviews to improve record quality.

Responsibilities include extensive collaboration with health teams, ensuring documentation reflects patient care decisions, and supporting revenue integrity and data quality initiatives. The position is on-site within a hospital setting.

Qualifications

• Bachelor’s Degree required in Nursing or HIM.
• At least 2 years in Clinical / Nursing & Case Management or Coding with an Associate’s Degree.
• Licensure/certification: RN/BSN, LPN (LA license), CCDS, RHIA, RHIT or AHIMA/AAPC Coding Cert.

Responsibilities

• Facilitates complete and accurate documentation at the point of service.
• Collaborates with physicians, coders, and health team to improve documentation for reimbursement.
• Conducts concurrent and retrospective reviews to enhance coding accuracy and clinical detail.
• Provides education and training to care teams on documentation best practices.
• Monitors KPI targets and communicates backlog status to management.

Skills

ICD-10-CM/PCS knowledge

CPT/HCPCS guidelines

MS-DRG/APC coding knowledge

Provider-based billing knowledge

Medical terminology

Education/training capability

Communication skills

Education

Bachelor’s Degree in Nursing or HIM

2 years clinical/nursing & case management or coding

RN/BSN or LPN license or coding certification (RHIA/RHIT/CCS)

Tools

Electronic health record systems

Privacy and security regulations

Job description

LCMC Health seeks a CDI Specialist to optimize clinical documentation for accurate coding and reimbursement. The role involves educating physicians, nurses, and coders, and participating in concurrent and retrospective reviews to improve record quality.

Responsibilities include extensive collaboration with health teams, ensuring documentation reflects patient care decisions, and supporting revenue integrity and data quality initiatives. The position is on-site within a hospital setting.