Remote CDI Specialist - Clinical Documentation Integrity

OU Health

Lawton (OK)

On-site

USD 75,000 - 110,000

Full time

2 days ago

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Benefits offered by this job

PTO

401(k)

Medical and dental plans

Job summary

OU Health is seeking an Experienced Clinical Documentation Integrity (CDI) Specialist to join the Clinical Document Improvement team. The role emphasizes independent chart reviews, documentation clarification, and compliant CDI query formulation.

Collaboration with Coding, Quality, and Case Management is essential. Ideal candidates will have CDI certification (CCDS/CDIP) and an active clinical credential, with 3+ to 5+ years of CDI or healthcare documentation experience depending on level.

Qualifications

Bachelor's degree required for Level 2 and above.
CDDS/CDIP CDI certification required; active clinical credential (RN, LPN, PA, NP, RHIA/RHIT/CCS/CPC or equivalent).
USMLE for foreign medical graduates where applicable.

Responsibilities

Independently conducts concurrent and retrospective reviews of inpatient records.
Identifies documentation gaps related to diagnoses, procedures, and POA status.
Formulates compliant, non-leading CDI queries per OU Health standards.
Collaborates with Coding, Quality, Case Management and CDI leadership.
Identifies opportunities impacting SOI/ROM, quality metrics, and risk adjustment.
Mentors CDS Level I staff and shares CDI best practices.