Lead CDI Specialist: Clinical Documentation Leader

driscoll; United States; On-site; USD 110,000 - 150,000; Full time

Job summary

Driscoll seeks a Lead Clinical Documentation Improvement Specialist to supervise the CDI team of nurses and coders, ensuring precise inpatient documentation and APR-DRG assignments. Expertise in ICD-10, CMS regulations, and payer guidelines is essential, with collaboration across physicians and health care professionals to enhance data quality.

The role emphasizes education, process improvement, and ongoing professional development, including reviews, physician queries, and staff training to

Responsibilities

• Oversees review processes of complex pediatric patients and inpatient records to ensure accurate documentation and coding.
• Leads CDI team including nurses and coders, providing education and guidance on ICD-10, APR-DRG assignments, and payer regulations.
• Collaborates with physicians, nurses, case managers, and other departments to improve documentation quality and reimbursement outcomes.

Job description

Driscoll seeks a Lead Clinical Documentation Improvement Specialist to supervise the CDI team of nurses and coders, ensuring precise inpatient documentation and APR-DRG assignments. Expertise in ICD-10, CMS regulations, and payer guidelines is essential, with collaboration across physicians and health care professionals to enhance data quality.

The role emphasizes education, process improvement, and ongoing professional development, including reviews, physician queries, and staff training to