Remote CDI Specialist: Elevate Documentation & Coding

HIMpros, LLC; United States; Remote; USD 60,000 - 90,000; Full time

Benefits offered by this job

100% Remote Work

Flexible Scheduling

Competitive Pay

PTO

Paid Holidays

Continuing Education Assistance

Paid Continuing Education Time

Training & Ongoing Support

401(k) Retirement Plan

Short-Term Disability Coverage

Company-Paid Life Insurance

Job summary

HIMpros, LLC is hiring an experienced Clinical Documentation Integrity (CDI) Specialist for a fully remote role in the United States. The CDI professional will perform concurrent and retrospective reviews to ensure accurate, complete, and compliant medical records, improving documentation quality, coding accuracy, reimbursement, and quality reporting.

Responsibilities include identifying documentation gaps, supporting provider queries, reviewing indicators for SOI and ROM, and collaborating with

Qualifications

• Minimum 2 years of CDI experience.
• Strong understanding of ICD-10-CM, MS-DRG, APR-DRG, and clinical documentation standards.
• Experience reviewing complex inpatient medical records and identifying documentation improvement opportunities.
• Proficiency with electronic health records and CDI/coding software.
• Strong analytical, communication, and critical-thinking skills.
• Reliable high-speed internet and a secure, HIPAA-compliant home office.

Responsibilities

• Perform concurrent and retrospective medical record reviews to ensure clinical documentation accuracy and compliance.
• Identify documentation gaps and opportunities for compliant provider queries.
• Review clinical indicators to support diagnosis capture, SOI, and ROM.
• Collaborate with coding professionals, providers, and healthcare teams to improve documentation integrity.
• Apply ICD-10-CM, MS-DRG, APR-DRG, CMS, and AHA Coding Clinic guidelines.
• Conduct initial, follow-up, and retrospective reviews to ensure appropriate documentation.
• Maintain productivity, accuracy, and quality standards.
• Ensure HIPAA compliance while working remotely.

Skills

CDI experience

ICD-10-CM knowledge

MS-DRG/APR-DRG knowledge

Analytical thinking

Communication skills

Critical thinking

Education

RN license and BSN

CDIP/CDDS certification

Tools

EHR software

CDI/coding software

Epic/Cerner/3M Solventum familiarity

Job description

HIMpros, LLC is hiring an experienced Clinical Documentation Integrity (CDI) Specialist for a fully remote role in the United States. The CDI professional will perform concurrent and retrospective reviews to ensure accurate, complete, and compliant medical records, improving documentation quality, coding accuracy, reimbursement, and quality reporting.

Responsibilities include identifying documentation gaps, supporting provider queries, reviewing indicators for SOI and ROM, and collaborating with