Remote CDI Lead | AI-Driven Medical Documentation (Contract)

mercor; United States; Remote; USD 240,694,000 - 267,254,000; Full time

Job summary

Mercor in the United States seeks a Clinical Documentation Integrity Leader to drive CDI programs for inpatient and outpatient settings in a fully remote contract role.

You will oversee concurrent and retrospective reviews, evaluate AI-generated documentation, manage physician queries, ensure accurate diagnoses and DRG capture, and partner with coding, compliance, and clinical teams to close documentation gaps.

Qualifications

• Minimum 5 years in CDI/CI with 2+ in leadership.
• Deep knowledge of MS-DRG, CC/MCC hierarchies, ICD-10-CM/PCS.
• Expertise in physician query management per AHIMA/ACDIS.
• Strong clinical background for medical record interpretation.
• Proficient with CDI platforms (3M/Nuance/Optum360) and EHR.
• Excellent written and spoken English.
• Ability to work independently in a remote setting.

Responsibilities

• Lead CDI programs for inpatient and outpatient settings; oversee concurrent and retrospective review workflows.
• Evaluate AI-generated clinical documentation improvement suggestions, physician queries, and coding recommendations.
• Conduct and review clinical documentation; ensure accurate capture of diagnoses, procedures, severity of illness, and risk of mortality.
• Develop and manage physician query processes; align with AHIMA and ACDIS guidelines.
• Monitor CDI program KPIs including query response rates, CC/MCC capture rates, case mix index, and DRG accuracy.
• Collaborate with coding, compliance, and clinical teams; address documentation gaps and improve query processes.

Skills

Clinical documentation

Leadership

Query management

AI evaluation

Medical records interpretation

English communication

Education

RN

RHIA

CCS

CDIP

CCDS

Tools

3M CDI

Nuance

Optum360

EHR systems

Job description

Mercor in the United States seeks a Clinical Documentation Integrity Leader to drive CDI programs for inpatient and outpatient settings in a fully remote contract role.

You will oversee concurrent and retrospective reviews, evaluate AI-generated documentation, manage physician queries, ensure accurate diagnoses and DRG capture, and partner with coding, compliance, and clinical teams to close documentation gaps.