Clinical Documentation Improvement Specialist

Guidehouse; Washington (District of Columbia); On-site; USD 61,000 - 101,000; Full time

Benefits offered by this job

Medical, Rx, Dental & Vision Insurance

401(k) Retirement Plan

Tuition Reimbursement

Job summary

Guidehouse is seeking a CDI Specialist to perform comprehensive chart reviews and ensure documentation accurately reflects severity and risk of mortality in alignment with CMS standards.

You will work with Coders, Educators, Case Managers, and Providers to drive timely, compliant coding and DRG assignments. Strong CDI experience and clinical knowledge are essential for success in this role.

Qualifications

• RN or MD credential with 2–4 years inpatient CDI experience.
• Strong knowledge of coding guidelines and DRG processes.
• Ability to query physicians and communicate clearly to resolve documentation ambiguities.

Responsibilities

• Conduct comprehensive secondary chart reviews to identify missed opportunities in documentation.
• Collaborate with Coders, Educators, Quality, Case Managers, and Providers to ensure clinically appropriate documentation.
• Perform daily concurrent reviews and assign initial DRG, updating as needed.
• Submit and track physician queries per AHIMA guidance and coordinate with CDI Coordinator.

Skills

Critical thinking

Interpersonal skills

Clinical knowledge

Medical terminology

Education

RN

MD

CDI certifications (CCDS/CDIP)

Tools

EHR systems

CDI software

Encoders

Job description

Guidehouse is seeking a CDI Specialist to perform comprehensive chart reviews and ensure documentation accurately reflects severity and risk of mortality in alignment with CMS standards.

You will work with Coders, Educators, Case Managers, and Providers to drive timely, compliant coding and DRG assignments. Strong CDI experience and clinical knowledge are essential for success in this role.