Remote CDI Specialist - Clinical Documentation Expert

Paylocity; United States; Remote; USD 90,000 - 120,000; Full time

Benefits offered by this job

401(k) with company match

Medical insurance

Dental insurance

Vision insurance

Life insurance

Short/Long-term disability

Job summary

e4health is seeking a CDI Consultant to perform timely reviews of patient records to ensure documentation reflects severity and complexity of illness. You will educate and interact with providers to ensure chart data accurately represents the clinical picture.

This role is fully remote in the United States and requires 3+ years of clinical documentation experience, an active RN license, and proficiency with Microsoft Office tools (Excel, Word, Outlook). Maryland APR-DRG experience is a plus.

Qualifications

• 3+ years of clinical documentation experience.
• Current RN license.
• Strong analytical skills to clinically evaluate the medical record.
• Ability to use a PC for medical record review along with proficiency utilizing Microsoft products (Excel, Word, Outlook).
• Ability to communicate effectively with e4health management and clients.
• Maryland APR-DRG experience preferred.

Responsibilities

• Review medical records as assigned for complete and accurate documentation of all relevant diagnoses and procedures.
• Initiate and complete queries as necessary to reflect accurate data regarding the patient’s inpatient or outpatient visit.
• Adhere to guidelines as set forth by ACDIS, AAPC, and AHIMA.
• Maintain strict confidentiality of all patient information in accordance with HIPAA.
• Demonstrate understanding of the business of healthcare: DRG payer issues, audit risks, documentation opportunities, quality metrics, hierarchical condition categories.
• Work closely with the client, co-workers, and management to meet the specific needs of each assignment in alignment with core values.
• Effectively utilize computer software based on the specific client requirements.

Skills

Analytical thinking

Effective communication

PC-based medical record review

Education

RN license

Tools

Microsoft Office

Job description

e4health is seeking a CDI Consultant to perform timely reviews of patient records to ensure documentation reflects severity and complexity of illness. You will educate and interact with providers to ensure chart data accurately represents the clinical picture.

This role is fully remote in the United States and requires 3+ years of clinical documentation experience, an active RN license, and proficiency with Microsoft Office tools (Excel, Word, Outlook). Maryland APR-DRG experience is a plus.