Clinical CDI: DRG Validation Specialist

Baptist Health; Coral Gables (FL); On-site; USD 95,000 - 125,000; Full time

Job summary

Baptist Health in Florida seeks a Clinical Documentation Integrity Specialist II – DRG Validator to improve inpatient documentation quality and DRG accuracy. The role focuses on targeted concurrent DRG validation using EHR workflows, analytics-informed prioritization, and collaboration with coding teams.

Responsibilities include reviewing non-optimized DRGs and level-of-care vs DRG mismatches, with readiness for Epic CDI go-live in July 2027 and five years of inpatient experience plus CDI

Qualifications

• Five years of inpatient medical experience required.
• International medical school graduate required.
• ACDIS Certified Clinical Documentation Specialist.
• AHIMA Certified Documentation Improvement Practitioner.
• Strong knowledge of Medicare MS-DRG and Medicaid APR-DRG assignment.

Responsibilities

• Improve quality, completeness, and clinical accuracy of inpatient documentation and DRG assignment.
• Review selected inpatient accounts generally >48 hours from admission with high risk of non-optimization.
• Support Epic CDI workflows and planned go-live in July 2027.
• Collaborate with coding professionals and use analytics-enabled review tools.

Skills

Healthcare analytics

Clinical documentation improvement

Team collaboration

Education

Doctor of Medicine / DO

Tools

Epic CDI

CDEOne

TruBridge

Job description

Baptist Health in Florida seeks a Clinical Documentation Integrity Specialist II – DRG Validator to improve inpatient documentation quality and DRG accuracy. The role focuses on targeted concurrent DRG validation using EHR workflows, analytics-informed prioritization, and collaboration with coding teams.

Responsibilities include reviewing non-optimized DRGs and level-of-care vs DRG mismatches, with readiness for Epic CDI go-live in July 2027 and five years of inpatient experience plus CDI