Remote CDI Lead for AI-Enhanced Clinical Documentation

Mercor; San Francisco (CA); Remote; USD 98,000 - 134,000; Full time

Job summary

Mercor is seeking a Clinical Documentation Integrity Leader to oversee CDI programs across inpatient and outpatient settings from a fully remote environment. The role focuses on evaluating AI-generated documentation, physician queries, and coding recommendations to ensure accuracy and compliance.

The ideal candidate has 5+ years in CDI with at least 2 years in a leadership role, strong MS-DRG and ICD-10 expertise, and solid experience with CDI software platforms and EHR systems.

Qualifications

• 5+ years of experience in clinical documentation integrity or improvement; 2+ years in a leadership role.
• Deep knowledge of MS-DRG methodology, CC/MCC hierarchies, and ICD-10-CM/PCS guidelines.
• Expertise in physician query management per AHIMA and ACDIS compliant standards.
• Strong clinical background and ability to interpret medical records and documentation.
• Proficiency with CDI software platforms (3M, Nuance, Optum360, or equivalent) and EHR systems.
• Exceptional written and verbal English communication skills.
• High attention to detail and ability to assess AI-generated outputs.
• Comfortable working independently in a remote environment.

Responsibilities

• Lead clinical documentation integrity programs for inpatient and outpatient settings.
• Evaluate AI-generated clinical documentation improvement suggestions, physician queries, and coding recommendations.
• Conduct and review clinical documentation to 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 to address documentation gaps and improve query processes.

Skills

CDI leadership

MS-DRG knowledge

AHIMA/ACDIS guidelines

ICD-10-CM/PCS

EHR systems

3M

Nuance

Optum360

Remote work

Tools

3M

Nuance

Optum360

EHR systems

Job description

Mercor is seeking a Clinical Documentation Integrity Leader to oversee CDI programs across inpatient and outpatient settings from a fully remote environment. The role focuses on evaluating AI-generated documentation, physician queries, and coding recommendations to ensure accuracy and compliance.

The ideal candidate has 5+ years in CDI with at least 2 years in a leadership role, strong MS-DRG and ICD-10 expertise, and solid experience with CDI software platforms and EHR systems.