Clinical Documentation Improvement Specialist

Guidehouse Managed Services LLC; Washington (District of Columbia); On-site; USD 74,000 - 124,000; Full time

Benefits offered by this job

Medical Insurance

401(k) Plan

Paid Holidays

Tuition Reimbursement

Job summary

Guidehouse is seeking a CDI Specialist to perform comprehensive chart reviews and ensure documentation supports severity and risk of mortality in inpatient records. The role requires collaboration with coders, educators, and clinicians to drive accurate coding at discharge.

Daily reviews, initial DRG assignments, and compliant physician querying are key duties, with a focus on CMS and regulatory standards. Washington, DC area position with competitive compensation.

Qualifications

• Bachelor's degree required; RN or MD/MD equivalent preferred.
• 4+ years direct patient care in inpatient settings, critical care, or acute med-surg.
• 2+ years CDI experience and encoder/DRG familiarity.
• Knowledge of official coding guidelines and coding clinics.

Responsibilities

• Perform daily secondary chart reviews to identify documentation gaps.
• Initiate compliant physician queries and follow up for timely responses.
• Assign initial DRG and update working DRG as needed based on documentation.
• Collaborate with Coders, Educators, Case Managers, and Providers to ensure accuracy.

Skills

CDI experience

Critical thinking

Interpersonal skills

Medical terminology

Communication with physicians

Education

Bachelor's degree

RN

MD/MBBS

Tools

Encoder

DRG assignment

EHR systems

Job description

Guidehouse is seeking a CDI Specialist to perform comprehensive chart reviews and ensure documentation supports severity and risk of mortality in inpatient records. The role requires collaboration with coders, educators, and clinicians to drive accurate coding at discharge.

Daily reviews, initial DRG assignments, and compliant physician querying are key duties, with a focus on CMS and regulatory standards. Washington, DC area position with competitive compensation.