Clinical Documentation Integrity Specialist

Insight Global; United States; Remote; USD 85,000 - 110,000; Full time

Job summary

Insight Global is seeking an experienced CDI RN to drive compliant physician queries and documentation across multiple health system facilities.

The role involves creating and documenting CDI queries in CDI software and EMR, using Epic and platforms such as 3M, while maintaining high productivity and quality in a remote environment.

Qualifications

• Active RN license required.
• 3+ years of CDI experience.
• Strong understanding of DRG methodologies, CC/MCC capture and severity of illness concepts.
• Working knowledge of ICD-10 guidelines and documentation best practices.

Responsibilities

• Initiate compliant physician queries when clarification or additional documentation is needed.
• Create queries within designated CDI software and document outcomes within the EMR system.
• Navigate multiple systems daily, including Epic and CDI platforms such as 3M.
• Maintain productivity and quality standards while supporting multiple Health System facilities.

Skills

RN license

CDI experience

DRG methodologies

CC/MCC capture

Severity of illness

Risk of mortality

ICD-10 guidelines

CDI platforms (3M)

Remote work

Tools

CDI software (3M)

Job description

• Initiate compliant physician queries when clarification or additional documentation is needed.
• Create queries within designated CDI software and document outcomes within the EMR system.
• Navigate multiple systems daily, including Epic and CDI platforms such as 3M.
• Maintain productivity and quality standards while supporting multiple Health System facilities.

Job Requirements

Required Qualifications

• Active RN license required.
• 3+ years of Clinical Documentation Integrity (CDI) experience.
• Strong understanding of DRG methodologies, CC/MCC capture, severity of illness, and risk of mortality concepts.
• Working knowledge of ICD-10 coding guidelines and documentation best practices.
• Experience utilizing CDI technology platforms, preferably 3M.
• Ability to independently review inpatient records and identify compliant query opportunities.
• Strong written and verbal communication skills.
• Proven ability to work effectively in a remote environment.