Remote CDI Specialist: Documentation Integrity Expert

Dahl Consulting; Iowa; Hybrid; USD 62,000 - 69,000; Full time

Benefits offered by this job

Comprehensive benefits package

Job summary

Dahl Consulting is seeking a Clinical Documentation Specialist for a remote, 6-month contract to support documentation integrity and denials prevention. This role focuses on reviewing inpatient records, developing physician queries, and collaborating with CDI, coding, and utilization teams to improve accuracy and reimbursement.

Ideal candidates will have RHIA/RHIT, CCDS/CDIP, 3+ years inpatient CDI experience, and proficiency with multiple EMR/EHR systems.

Qualifications

• RHIA or RHIT credential required.
• CCDS or CDIP/CCIP certification required.
• Minimum 3 years inpatient CDI experience.
• Experience reviewing documentation and physician query workflows.
• Strong knowledge of ICD-10-CM/PCS, MS-DRG/APR-DRG, SOI/ROM indicators.
• Experience with multiple EMR/EHR systems.
• Excellent written and verbal communication; able to meet productivity targets.

Responsibilities

• Conduct concurrent and retrospective reviews of medical records to identify documentation gaps and opportunities for improvement.
• Develop and issue compliant physician queries to clarify clinical documentation.
• Monitor outstanding queries and follow up with providers to ensure timely resolution.
• Support denials prevention and clinical validation through accurate document review.
• Collaborate with coding, CDI, utilization review, and clinical teams to improve documentation quality.
• Assign and monitor working DRGs, SOI, and ROM indicators.
• Analyze documentation trends and provide recommendations to improve integrity.
• Maintain productivity standards and meet daily/weekly review goals.
• Ensure compliance with documentation, coding, and regulatory guidelines.
• Serve as a documentation subject matter expert for clinical stakeholders.

Skills

Communication skills

CDI experience

ICD-10-CM/PCS knowledge

Query workflows

Education

RHIA or RHIT

CCDS/CDIP

RN or MD credential (foreign)

Tools

EMR/EHR systems

Job description

Dahl Consulting is seeking a Clinical Documentation Specialist for a remote, 6-month contract to support documentation integrity and denials prevention. This role focuses on reviewing inpatient records, developing physician queries, and collaborating with CDI, coding, and utilization teams to improve accuracy and reimbursement.

Ideal candidates will have RHIA/RHIT, CCDS/CDIP, 3+ years inpatient CDI experience, and proficiency with multiple EMR/EHR systems.