Clinical Document Improvement Coordinator

Talent Groups; United States; On-site; USD 85,000 - 110,000; Full time

Job summary

Talent Groups is seeking a CDI Coordinator to serve as a seasoned second-level CDI reviewer and subject matter expert. The role manages work queues, conducts post-coding/pre-bill reviews, and guides the CDI team on complex coding and query questions.

Responsibilities include reviewing audit recommendations, issuing follow-up queries, mentoring staff, and collaborating across departments to ensure timely CDI processes and high-quality documentation.

Qualifications

• Three (3) years of acute hospital-based CDI experience.
• RN license active and CCDS or CDIP certification required.

Responsibilities

• Acts as a clinical subject matter expert, mentor, and liaison for the CDI, Coding, and Quality Teams. Assists with on-going education and training of new staff.
• Identifies educational opportunities in reviewing medical records and provides education feedback to individuals and if relevant, to the Trainer/Educator and/or Audit/Educator for broader education to the CDI and/or Coding Teams
• Performs second-level clinical reviews for high impact targeted metrics including, but not limited to targeted DRGs, DRG Mismatch, Compliance, and CDI quality
• Performs clinical reviews of any potential PSIs for exclusions and escalates cases to the Physician Advisor when unable to exclude a PSI
• Works collaboratively with, and is a liaison to other Departments, Leadership, Service Line Physician Champions, Physician Advisors, and other members of the Healthcare Team
• Responsible for the concurrent physician query escalation process to support query completion prior to discharge
• Demonstrates skill in prioritizing and performing a variety of duties within an environment where assignments, priorities, and deadlines change frequently
• Demonstrates excellent written and verbal communication skills, critical thinking, decision making, and interpersonal skills. Proactively escalates risks and issues to CDI Leadership to ensure timely and effective resolution
• Performs other duties as assigned.

Job description

The CDI Coordinator serves as an experienced second-level CDI reviewer and subject matter expert, managing work queues and performing post-coding/pre-bill reviews. Responsibilities include reviewing audit recommendations, determining query validity, issuing follow-up queries, and providing guidance and education to the CDI team on complex coding, query, and procedure-coding questions.

Qualifications:

• Minimum 3 years of CDI experience, current CDI certification, and an active RN license required.
• Strong knowledge of CDI guidelines, Coding Clinics, and query practices is essential.
• Bachelor’s degree preferred, but not required.

Job Duties:

• Acts as a clinical subject matter expert, mentor, and liaison for the CDI, Coding, and Quality Teams. Assists with on-going education and training of new staff.
• Identifies educational opportunities in reviewing medical records and provides education feedback to individuals and if relevant, to the Trainer/Educator and/or Audit/Educator for broader education to the CDI and/or Coding Teams
• Performs second-level clinical reviews for high impact targeted metrics including, but not limited to targeted DRGs, DRG Mismatch, Compliance, and CDI quality
• Performs clinical reviews of any potential PSIs for exclusions and escalates cases to the Physician Advisor when unable to exclude a PSI
• Works collaboratively with, and is a liaison to other Departments, Leadership, Service Line Physician Champions, Physician Advisors, and other members of the Healthcare Team
• Responsible for the concurrent physician query escalation process to support query completion prior to discharge
• Demonstrates skill in prioritizing and performing a variety of duties within an environment where assignments, priorities, and deadlines change frequently
• Demonstrates excellent written and verbal communication skills, critical thinking, decision making, and interpersonal skills. Proactively escalates risks and issues to CDI Leadership to ensure timely and effective resolution
• Performs other duties as assigned.

Minimum Qualifications

• Required three (3) years of acute hospital-based CDI experience.
• Preferable in an Academic environment. An equivalent combination of education and experience may be considered
• Required Registered Nurse (RN)
• Required Certified Clinical Documentation Specialist (CCDS) or Certified Documentation Improvement Practitioner (CDIP)