CDI Specialist: Elevate Medical Documentation & Coding

Mosaic Life Care; Florida; Remote; USD 75,000 - 105,000; Full time

Benefits offered by this job

Concierge services

Employee lounge

Wellness programs

Free covered parking

On-site and virtual health clinics

Job summary

Mosaic Life Care is seeking a CDI professional to conduct basic to intermediate clinical documentation reviews for selected admissions, ensuring accurate coding and DRG assignment. You will abstract data from charts, assign codes, and query providers when documentation needs clarification to reflect severity of illness and mortality risk.

The role supports quality audits and departmental improvements, with opportunities for ongoing education and professional development.

Qualifications

• Associate's Degree in Nursing is required.
• Bachelor's Degree in Nursing is preferred.
• Certified Clinical Documentation Specialist (CCDS) within 2 years is required or equivalent.
• Knowledge of care delivery documentation systems and medical record documents.

Responsibilities

• Perform basic to intermediate CDI reviews and re-reviews for selected admissions.
• Abstract data from charts and systems per Official Coding Guidelines.
• Assigns ICD-10-CM/PCS codes and DRG based on Official Guidelines.
• Initiates queries with providers to capture documentation supporting severity of illness and risk of mortality.
• Completes second level reviews including mortality and quality reviews.
• Participate in staff training and departmental improvement activities.
• Engage in professional development through webinars and online education.

Skills

ICD-10-CM/PCS coding

Clinical documentation

Querying providers

Quality improvement

Education

Associate's Degree - Nursing - Required

Bachelor's Degree - Nursing - Preferred

Certified CCDS

Job description

Mosaic Life Care is seeking a CDI professional to conduct basic to intermediate clinical documentation reviews for selected admissions, ensuring accurate coding and DRG assignment. You will abstract data from charts, assign codes, and query providers when documentation needs clarification to reflect severity of illness and mortality risk.

The role supports quality audits and departmental improvements, with opportunities for ongoing education and professional development.