CDI Specialist: Physician Education & DRG Integrity

Montage Health; Monterey (CA); On-site; USD 100,000 - 133,000; Full time

Job summary

Montage Health is seeking an in-house CDI Specialist - Physician Education & DRG Integrity to work closely with physicians, HIM, and revenue cycle leadership to improve inpatient documentation accuracy and DRG alignment. The role emphasizes real-time collaboration, education, and ongoing program development to support a fully internal inpatient CDI program.

The ideal candidate has extensive experience in CDI, inpatient coding, and physician-facing education, with knowledge of MS-DRG

Qualifications

• Experience in clinical documentation integrity and physician education.
• Knowledge of ICD-10-CM/PCS coding and MS-DRG assignment.
• Familiarity with CDI analytics, reporting, and performance improvement.

Responsibilities

• Collaborate with physicians and care teams to identify the working DRG on day one of admission.
• Improve documentation of principal and secondary diagnoses for accuracy and reimbursement.
• Provide real-time physician education to improve documentation quality and reduce retrospective queries.
• Support development of an internal inpatient CDI program.
• Engage with coding, HIM, and revenue cycle leadership to align workflows and governance.

Skills

Physician education

Interdisciplinary collaboration

Documentation accuracy

Inpatient coding knowledge

Education

California RN license

CCDS or CDIP

CCS or CCS-P preferred

AHIMA/HFMA certifications

Tools

Epic

CDI platforms

Coding workflow tools

Job description

Montage Health is seeking an in-house CDI Specialist - Physician Education & DRG Integrity to work closely with physicians, HIM, and revenue cycle leadership to improve inpatient documentation accuracy and DRG alignment. The role emphasizes real-time collaboration, education, and ongoing program development to support a fully internal inpatient CDI program.

The ideal candidate has extensive experience in CDI, inpatient coding, and physician-facing education, with knowledge of MS-DRG