Clinical Documentation Integrity Specialists (FMG, DO or MD)

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

Job Title: Clinical Documentation Integrity Specialist (FMG, DO or MD)

Compensation
Salary Range: $86,000+ per year DOE

Location: Nassau County, Long Island, NY – Onsite

Position Summary

As a Clinical Documentation Integrity Specialist, you will play a critical role in ensuring the accuracy, completeness, and integrity of clinical documentation within a large hospital system. This position serves as a bridge between providers and coding professionals, supporting accurate ICD-10 coding, regulatory compliance, quality reporting, and reimbursement. The ideal candidate will possess strong clinical knowledge, expertise in documentation improvement, and the ability to educate providers on best practices in clinical documentation.

Responsibilities

Schedule / Shift

• Shift details: Day Shift
• Hours per week: 40
• Contract length (if applicable): Direct Hire

Key Duties:

• Perform clinical documentation reviews and audits to ensure accurate and complete provider documentation and ICD-10 code capture
• Collaborate with providers and coding teams to support accurate APR-DRG and MS-DRG assignment
• Develop compliant clinical queries and communicate with providers to obtain timely responses
• Analyze, monitor, and report CDI metrics while identifying opportunities for performance improvement
• Educate providers and leadership on clinical documentation best practices, coding guidelines, and regulatory requirements

Requirements

Education

• Required: One of the following: MD, DO, or MBBS with ECFMG Certification
• Preferred (if applicable): N/A

Licenses & Certifications

• Required: At least one of the following:
  • AHIMA Certified Documentation Improvement Practitioner (CDIP)
  • ACDIS Certified Clinical Documentation Specialist (CCDS)
  • AHIMA Certified Coding Specialist (CCS)
• Additional certifications (if applicable): N/A

Skills:

• Strong knowledge of clinical medicine, pathophysiology, differential diagnoses, and treatment protocols
• Advanced understanding of ICD-10-CM/PCS coding guidelines and documentation standards
• Experience with CDI audits, provider education, denial management, and clinical appeals
• Proficiency with DRG grouper software and electronic health record systems such as Epic or Meditech

About Us

RCM Healthcare Services works with professionals across schools, healthcare, and community-based settings nationwide. We support both contract and direct hire opportunities, connecting people early in their careers and experienced professionals to roles that align with their experience and preferences.

With more than 50 years of staffing experience, our team understands the environments you’re stepping into and what it takes to be successful in them. We stay closely involved from first conversation through placement, with consistent communication, a reliable point of contact, and follow-through at every step. We’re committed to caring for the professionals we work with and the communities they support, and offer competitive pay and benefits designed to support your well-being.

RCM Healthcare Services is Joint Commission certified, reflecting a commitment to quality, compliance, and a consistent experience.

Equal Employment Opportunity & Reasonable Accommodation

RCM Technologies is an equal opportunity employer and values diversity. We are committed to providing reasonable accommodations to qualified individuals with disabilities in accordance with the Americans with Disabilities Act (ADA) and applicable state laws. If you require a reasonable accommodation to apply for or perform this role, please contact us and we will engage in an interactive process to support your needs.

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