Inpatient CDI Nurse Specialist — Documentation & DRG

Carle Health; Champaign (IL); On-site; USD 47,000 - 81,000; Full time

Benefits offered by this job

Comprehensive benefits

Job summary

Carle Health in Champaign, IL seeks a Clinical Documentation Improvement (CDI) Specialist to review inpatient records, determine DRG assignments and ensure documentation supports severity of illness and mortality risk. You will collaborate with physicians, nurses, and HIM coders to capture principal and secondary diagnoses and procedures, and assign working DRGs.

The role includes education on CDI topics, reviewing DRG denials, and following EPIC workflows.

Qualifications

• 2+ years CDI experience required.
• Nursing or MD background required.
• Excellent collaboration with physicians and HIM.

Responsibilities

• Conducts concurrent review for selected admissions.
• Clarifies documentation with clinicians to ensure accurate coding.
• Ensures chart reflects true clinical picture supporting care and DRG.
• Documents findings in CDI software and updates as needed.
• Coordinates with physicians, nurses and coding staff to identify diagnoses and procedures.
• Follows query process and escalates as necessary.
• Provides education on CDI topics to peers and providers.
• Performs second level review on selected inpatient encounters.
• Reviews denials and prepares appeal letters when needed.
• Attends mandatory education sessions.
• Uses EPIC and CDI workflows; notifies leaders of issues.
• May participate in testing for upgrades.

Skills

CDI experience

EPIC proficient

Education

RHIA certification

RN license in Illinois

Tools

EPIC EHR

Job description

Carle Health in Champaign, IL seeks a Clinical Documentation Improvement (CDI) Specialist to review inpatient records, determine DRG assignments and ensure documentation supports severity of illness and mortality risk. You will collaborate with physicians, nurses, and HIM coders to capture principal and secondary diagnoses and procedures, and assign working DRGs.

The role includes education on CDI topics, reviewing DRG denials, and following EPIC workflows.