Onsite CDI Specialist: Clinical Documentation & Coding Expert

Confidential; New York (NY); On-site; USD 110,000 - 160,000; Full time

Job summary

Confidential is seeking a full-time, onsite Clinical Documentation Integrity (CDI) Specialist in the New York area. The role requires a clinician with extensive CDI experience and a strong clinical background to improve documentation quality, coding accuracy, and organizational performance.

You will review inpatient records, educate staff, and lead CDI meetings while collaborating with coding and quality teams. Epic or MEDITECH experience is strongly preferred.

Qualifications

• MBBS with ECFMG Certification.
• 5 years of inpatient CDI experience.
• 3 years of clinical experience in acute care.
• Expert knowledge of ICD-10-CM/PCS guidelines and documentation.
• Experience with DRG software and EHRs such as Epic or MEDITECH.
• Strong communication and relationship-building skills.

Responsibilities

• Review and audit inpatient records for accurate, complete CDI.
• Collaborate with providers and coding teams to support ICD-10-CM/PCS and DRG assignments.
• Educate physicians and staff on CDI best practices and ICD-10 guidelines.
• Develop compliant provider queries following AHIMA standards.
• Write clinical appeal letters and assist with denial management.
• Analyze CDI metrics and present findings to leadership.
• Collaborate across departments to enhance documentation and reporting.
• Assist with EMR documentation optimization in Epic or MEDITECH.
• Lead CDI meetings, sessions, and provider training.

Skills

CDI experience

Inpatient CDI

Communication

Education

MBBS with ECFMG Certification

Tools

Epic

MEDITECH

Job description

Confidential is seeking a full-time, onsite Clinical Documentation Integrity (CDI) Specialist in the New York area. The role requires a clinician with extensive CDI experience and a strong clinical background to improve documentation quality, coding accuracy, and organizational performance.

You will review inpatient records, educate staff, and lead CDI meetings while collaborating with coding and quality teams. Epic or MEDITECH experience is strongly preferred.