CDI Specialist II - Advanced Documentation & Reimbursement

NOR Healthcare Systems; Culver City (CA); On-site; USD 94,000 - 129,000; Full time

Job summary

NOR Healthcare Systems is seeking a CDI Specialist Level II to conduct concurrent and retrospective reviews of inpatient medical records to ensure documentation reflects medical necessity, quality of care, and compliant reimbursement.

The role collaborates with medical staff to improve documentation, resolves ambiguities via physician queries, and supports coding staff to minimize denials, while adhering to HIPAA and regulatory standards.

Qualifications

• CDIP or CCDS certification required.
• Medical Graduate, Physician Assistant or Registered Nurse (CA License) with active CA license.
• Minimum 1 year of CDI experience in an acute care setting.
• Ability to multitask and manage workload effectively.
• Excellent written and verbal English communication.
• Ability to communicate clearly with physicians.

Responsibilities

• Review inpatient medical records for clinical documentation accuracy and reimbursement compliance.
• Resolve documentation gaps via physician query process before discharge.
• Coordinate daily department operations and educate staff on guidelines.
• Audit and evaluate medical records to improve documentation quality and compliance.
• Maintain PHI confidentiality in accordance with HIPAA and hospital policies.
• Assist with denial reviews and follow-up with coding staff as needed.
• Participate in case management meetings and information exchange.

Skills

CDIP or CCDS

Communication with physicians

English communication

Multitasking

Customer service

Education

Medical Graduate, Physician Assistant or Registered Nurse (CA License)

Tools

Computer literacy

Job description

NOR Healthcare Systems is seeking a CDI Specialist Level II to conduct concurrent and retrospective reviews of inpatient medical records to ensure documentation reflects medical necessity, quality of care, and compliant reimbursement.

The role collaborates with medical staff to improve documentation, resolves ambiguities via physician queries, and supports coding staff to minimize denials, while adhering to HIPAA and regulatory standards.