Clinical Documentation Integrity Specialist - Remote RN

Mosaic Life Care; Colorado Springs (CO); Remote; USD 75,000 - 95,000; Full time

Job summary

Mosaic Life Care is seeking a Registered Nurse to join our Clinical Documentation Integrity team. This role focuses on CDI reviews, querying providers, and supporting high-quality documentation to optimize patient care and coding accuracy.

Responsibilities include working with physician advisors on appeals, performing routine and retrospective chart reviews, and ensuring regulatory compliance. A strong ICU background and ongoing professional development are highly valued.

Qualifications

• Associate's Degree in Nursing is required.
• 3 years of clinical ICU/Critical Care experience
• 1 year experience in clinical documentation integrity functions preferred.
• RN state licensure required; CCDS and CDIP within 2 years

Responsibilities

• Complete CDI reviews and re-reviews and submit queries to providers.
• Partner with physician advisor on first and second level appeals and denial tracking.
• Review ICD-10-CM/PCS codes and assign DRG based on Official Coding Guidelines.
• Abstract data from concurrent and retrospective charts using documentation guidelines.
• Identify need to clarify documentation and communicate with providers to capture accurate documentation.
• Collaborate with coders and interdisciplinary team to ensure accurate documentation and coding.
• Participate in staff training and quality improvement activities.

Skills

Data entry

Clear communication

Phone etiquette

Fine motor skills

Professional writing

Education

Associate's Degree - Nursing

Bachelor's Degree - Nursing

Job description

Mosaic Life Care is seeking a Registered Nurse to join our Clinical Documentation Integrity team. This role focuses on CDI reviews, querying providers, and supporting high-quality documentation to optimize patient care and coding accuracy.

Responsibilities include working with physician advisors on appeals, performing routine and retrospective chart reviews, and ensuring regulatory compliance. A strong ICU background and ongoing professional development are highly valued.