REMOTE CDI Specialist

Insight Global; Murray (UT); Remote; USD 100,000 - 150,000; Full time

Job summary

Insight Global is seeking a skilled CDI specialist to review clinical documentation and ensure regulatory compliance in inpatient settings. You will work with physicians and clinical staff to clarify documentation and perform PDX shifting as needed to reflect patient conditions accurately.

Ideal candidates hold an active RN license with CDI experience, strong knowledge of DRG optimization, and the ability to formulate precise physician queries. Remote work not offered; equal opportunity employer.

Qualifications

• Active RN license required.
• 2+ years of CDI experience within inpatient acute care in the last 5 years.
• Hands-on PDX shifting experience.
• Understand when the primary diagnosis should be changed to a more appropriate diagnosis.
• Identify CDI opportunities independently.
• Strong ability to formulate appropriate physician queries.
• Cannot depend solely on 3M to identify opportunities or formulate the query.
• Experience in large health systems or revenue cycle environments.
• Advanced knowledge of DRG optimization, CC/MCC capture, and coding guidelines.

Responsibilities

• Review clinical documentation to ensure accuracy, completeness, and regulatory compliance
• Work directly with physicians and clinical staff to clarify documentation
• Perform Primary Diagnosis (PDX) shifting when appropriate to accurately reflect patient conditions and severity
• Identify opportunities for documentation improvement and reimbursement optimization
• Collaborate with coding and revenue cycle teams
• Support quality metrics and compliance initiatives

Skills

Active RN license

CDI experience

PDX shifting

Physician queries

ICU/charge nurse experience

RHIA/RHIT/CDS/CDIP

Job description

Day-to-Day Responsibilities

• Review clinical documentation to ensure accuracy, completeness, and regulatory compliance
• Work directly with physicians and clinical staff to clarify documentation
• Perform Primary Diagnosis (PDX) shifting when appropriate to accurately reflect patient conditions and severity
• Identify opportunities for documentation improvement and reimbursement optimization
• Collaborate with coding and revenue cycle teams
• Support quality metrics and compliance initiatives

Skills and Requirements

• Active RN license required
• 2+ years of CDI experience within inpatient acute care in the last 5 years
• Must be able to demonstrate hands‑on PDX shifting
• Understand when the primary diagnosis should be changed to a more appropriate diagnosis
• Must be able to identify CDI opportunities independently
• Strong ability to formulate appropriate physician queries
• Cannot depend solely on 3M to identify opportunities or formulate the query
• Candidates cannot be working another job simultaneously
• Strong PDX shifting experience
• Ability to take and implement feedback
• Strong clinical background, with ICU, charge nurse, or bedside nursing experience being valuable
• Ability to identify documentation opportunities and independently formulate queries
• Ability to consistently meet required productivity metrics
• CCDS, CDIP, RHIA, RHIT, RN, or related certification
• Experience in large health systems or revenue cycle environments
• Advanced knowledge of DRG optimization, CC/MCC capture, and coding guidelines

We are a company committed to creating diverse and inclusive environments where people can bring their full, authentic selves to work every day. We are an equal employment opportunity/affirmative action employer that believes everyone matters. Qualified candidates will receive consideration for employment without regard to race, color, ethnicity, religion, sex (including pregnancy), sexual orientation, gender identity and expression, marital status, national origin, ancestry, genetic factors, age, disability, protected veteran status, military or uniformed service member status, or any other status or characteristic protected by applicable laws, regulations, and ordinances. If you need assistance and/or a reasonable accommodation due to a disability during the application or the recruiting process, please send a request to [e-mail].