Clinical Documentation Integrity (CDI) Specialist- 2nd Level Reviewer- Remote

Guidehouse; United States; Remote; USD 50,000 - 70,000; Full time

Job summary

A leading company in business consulting is seeking a Clinical Documentation Integrity (CDI) Specialist - 2nd Level Reviewer for a remote role. The position involves conducting clinical chart reviews, collaborating with teams, and enhancing documentation quality through education and queries. This entry-level role offers a unique opportunity to engage with healthcare professionals and improve clinical documentation practices.

Qualifications

• Entry level; full-time employment.
• Industry: Business Consulting and Services.

Responsibilities

• Conduct comprehensive secondary clinical chart reviews to identify missed documentation opportunities.
• Collaborate with CDI educators to enhance team knowledge based on review findings.
• Work directly with clinicians and providers to improve documentation quality.

Job description

Clinical Documentation Integrity (CDI) Specialist - 2nd Level Reviewer - Remote

Join us to apply for the Clinical Documentation Integrity (CDI) Specialist - 2nd Level Reviewer - Remote role at Guidehouse.

Responsibilities:

1. Conduct comprehensive secondary clinical chart reviews to identify missed documentation opportunities.
2. Act as a liaison between coding and CDI teams to resolve DRG or code discrepancies.
3. Collaborate with CDI educators to enhance team knowledge based on review findings.
4. Work directly with clinicians and providers to improve documentation quality through queries and education.
5. Analyze clinical data to identify gaps or inconsistencies, and query providers following ACDIS/AHIMA guidelines.
6. Review cases with DRG/code discrepancies, mortality risks, HACs, PSIs, or other priority diagnoses.
7. Reconcile discrepancies between coding and clinical documentation.
8. Communicate review findings and collaborate with relevant teams for follow-up.
9. Document and track review outcomes, sharing insights in team meetings.
10. Engage with physicians and clinicians to promote understanding of CDI goals and documentation accuracy.

Qualifications:

Entry level; full-time employment; industry: Business Consulting and Services.