Inpatient CDI Specialist: Improve Documentation & DRG

Guidehouse; Escondido (CA); Presencial; USD 74.000 - 124.000; Jornada completa

Ventajas ofrecidas por este puesto de trabajo

Medical, Rx, Dental & Vision Insurance

401(k) Retirement Plan

Tuition Reimbursement, Personal Dev &/

Learning Opportunities

Descripción de la vacante

Guidehouse is seeking a Clinical Documentation Improvement (CDI) Specialist to perform onsite, comprehensive chart reviews and coordinate with coders, educators, and providers to ensure documentation accurately reflects illness severity and meets CMS standards.

Responsibilities include daily inpatient reviews, DRG assignments, and physician queries, with a salary range of $74,000 to $124,000 per year. The role emphasizes collaboration across CDI team and quality departments.

Formación

• RN, MD, or MD equivalent required.
• 2-4 years acute care inpatient hospital coding or CDI experience.
• Familiarity with encoder and DRG assignment.
• Maintain current working knowledge of official coding guidelines and coding clinics.

Responsabilidades

• Conduct daily concurrent review of inpatient records to ensure complete and accurate documentation for coding.
• Review daily admissions to assign initial code and complete CDI data entry for initial and follow-up reviews.
• Update working DRG as documentation supports or queries justify changes.
• Notify CDI Coordinator when daily review volume needs adjustment.
• Initiate compliant physician queries and follow up with MD per AHIMA guidance.

Conocimientos

Critical thinking

Analytical skills

Typing

EHR proficiency

Educación

Bachelor's degree

RN/MD/MD Equivalent (MBBS)

Herramientas

Encoder

DRG assignment

CDI software systems

Encoders

Descripción del empleo

Guidehouse is seeking a Clinical Documentation Improvement (CDI) Specialist to perform onsite, comprehensive chart reviews and coordinate with coders, educators, and providers to ensure documentation accurately reflects illness severity and meets CMS standards.

Responsibilities include daily inpatient reviews, DRG assignments, and physician queries, with a salary range of $74,000 to $124,000 per year. The role emphasizes collaboration across CDI team and quality departments.