Clinical Documentation Nurse Specialist (RN)

Conifer Health Solutions; Birmingham (AL); On-site; USD 65,000 - 85,000; Full time

Job summary

Conifer Health Solutions seeks a CDI Specialist to review medical records and enhance documentation quality. You will guide physicians on documentation requirements, perform timely record reviews, and collaborate with care teams to ensure accurate MS-DRG assignments and risk adjustment.

Ideal candidates have nursing training or provider experience, strong communication skills, and familiarity with CDI guidelines and coding practices. Travel may be required.

Qualifications

• CDI Specialist must have nursing background or provider experience.
• Experience with documentation guidelines, coding rules and MRD guidance is preferred.
• Ability to educate care teams on documentation standards.

Responsibilities

• Record review of medical records within 24-48 hours to support accurate MS-DRG assignment.
• Conduct follow-up reviews through discharge to support correct DRG and mortality risk.
• Formulate physician queries for missing or unclear documentation.
• Collaborate with providers, case managers and nursing staff on documentation.
• Assist in provider education and CDI education activities.

Skills

Nursing background

Clinical documentation

MS-DRG knowledge

Query formulation

Communication skills

Education

BSN or higher nursing degree

MD/Foreign MD

Tools

MS Word

MS Excel

Job description

Conifer Health Solutions seeks a CDI Specialist to review medical records and enhance documentation quality. You will guide physicians on documentation requirements, perform timely record reviews, and collaborate with care teams to ensure accurate MS-DRG assignments and risk adjustment.

Ideal candidates have nursing training or provider experience, strong communication skills, and familiarity with CDI guidelines and coding practices. Travel may be required.