Clinical Documentation Integrity Specialist - Onsite NY

RCM Health Care Services; New York (NY); On-site; USD 73,000 - 99,000; Full time

Job summary

RCM Health Care Services is seeking a Clinical Documentation Integrity Specialist to ensure accurate documentation and ICD-10 coding within a large hospital system. You will bridge providers and coders, supporting compliance and reimbursement while educating teams on best practices.

The role emphasizes CDI audits, DRG/MS-DRG accuracy, and regulatory knowledge, with a day shift and onsite expectations in Nassau County, NY. Requires clinical credentials and applicable CDI certifications.

Qualifications

• MD/DO/MBBS with ECFMG certification required.
• CDIP, CCDS or CCS certification required.
• Strong CDI knowledge and documentation standards.

Responsibilities

• Perform clinical documentation reviews and audits for ICD-10 code capture.
• Collaborate with providers and coding teams for APR-DRG/MS-DRG assignment.
• Develop compliant clinical queries and obtain timely responses.
• Analyze CDI metrics and identify performance improvement opportunities.
• Educate providers and leadership on documentation and coding guidelines.

Skills

Clinical knowledge

ICD-10 coding guidelines

CDI audits & education

DRG software proficiency

Education

MD/DO/MBBS with ECFMG

Tools

Epic

Meditech

Job description

RCM Health Care Services is seeking a Clinical Documentation Integrity Specialist to ensure accurate documentation and ICD-10 coding within a large hospital system. You will bridge providers and coders, supporting compliance and reimbursement while educating teams on best practices.

The role emphasizes CDI audits, DRG/MS-DRG accuracy, and regulatory knowledge, with a day shift and onsite expectations in Nassau County, NY. Requires clinical credentials and applicable CDI certifications.