Clinical Documentation Integrity (CDI) Specialist

Addison Group; Alabama; Remoto; USD 62.000 - 66.000; Tempo pieno

Vantaggi offerti da questo lavoro

Fully remote

Mon–Fri schedule

Equipment provided

Permanent opportunities

Collaborative team

Descrizione del lavoro

Addison Group is seeking a Clinical Documentation Integrity (CDI) Specialist for a fully remote contract-to-hire opportunity. This role focuses on reviewing inpatient medical records, identifying documentation improvement opportunities, and collaborating with physicians to ensure accurate diagnosis capture and MS-DRG assignment.

Responsibilities include reviewing 20–25 inpatient cases daily, developing compliant physician queries, and supporting MS-DRG reconciliation and documentation

Competenze

• RN or MD required.
• 5+ years of inpatient CDI experience preferred.
• BSN, CCDS, or CDIP certification preferred.
• Strong knowledge of MS-DRGs, clinical indicators, and compliant query practices.

Mansioni

• Review approximately 20–25 inpatient cases daily.
• Identify documentation gaps and develop compliant physician queries.
• Maintain approximately a 30% query rate.
• Review Internal Medicine cases, including Sepsis, CHF, COPD, Pneumonia, Diabetes, Malnutrition, and Acute Kidney/Liver Injuries.
• Support accurate MS-DRG assignment, reconciliation, and documentation compliance.

Conoscenze

Inpatient CDI experience

Strong communication

Clinical reasoning

Query development

Formazione

RN or MD required

BSN, CCDS, or CDIP certification preferred

Strumenti

EPIC

3M

Descrizione del lavoro

Job Title:

Clinical Documentation Integrity (CDI) Specialist

Location:

Remote – Multiple Approved States

Industry:

Healthcare / Clinical Documentation Integrity (CDI)

Pay:

$45.00 – $48.00 / Per hour

Benefits:

This position is eligible for medical, dental, vision, and 401(k).

About Our Client:

Our client is a leading healthcare system providing comprehensive inpatient and outpatient services, with a strong focus on clinical documentation accuracy, quality, and compliance.

Job Description:

We are seeking an experienced CDI Specialist for a fully remote contract-to-hire opportunity. This position focuses on reviewing inpatient medical records, identifying documentation improvement opportunities, and collaborating with physicians to ensure accurate diagnosis capture and MS-DRG assignment.

Key Responsibilities:

• Review approximately 20–25 inpatient cases daily.
• Identify documentation gaps and develop compliant physician queries.
• Maintain approximately a 30% query rate.
• Review Internal Medicine cases, including Sepsis, CHF, COPD, Pneumonia, Diabetes, Malnutrition, and Acute Kidney/Liver Injuries.
• Support accurate MS-DRG assignment, reconciliation, and documentation compliance.

Qualifications:

• RN or MD required.
• 5+ years of inpatient CDI experience preferred.
• BSN, CCDS, or CDIP certification preferred.
• Strong knowledge of MS-DRGs, clinical indicators, and compliant query practices.
• EPIC and 3M experience preferred.
• Excellent clinical reasoning and communication skills.

Additional Details:

• Employment Type: Contract-to-Hire (Approximately 6 months)
• Schedule: Monday–Friday, approximately 8:00 AM–4:30 PM
• Hours: 40 hours/week
• Work Arrangement: 100% Remote
• Approved States: AL, MS, LA, TX, GA, SC, FL, KS, AR, TN, MO, NE
• Systems: EPIC and 3M
• Equipment: Company-provided
• Interview Process: One virtual team interview (approximately 45 minutes).

Perks:

• Fully remote opportunity.
• Consistent Monday–Friday schedule.
• Company-provided equipment.
• Opportunity for permanent employment.
• Collaborative clinical documentation team.

Addison Group is an Equal Opportunity Employer.

Addison Group provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, gender, sexual orientation, national origin, age, disability, genetic information, marital status, amnesty, or status as a covered veteran in accordance with applicable federal, state and local laws.

Addison Group complies with applicable state and local laws governing non-discrimination in employment in every location in which the company has facilities.

Reasonable accommodation is available for qualified individuals with disabilities, upon request.