Remote CDI Specialist - Elevate Medical Documentation

University Hospitals; Shaker Heights (OH); À distance; USD 70 000 - 110 000; Plein temps

Avantages offerts par ce poste

Remote work options

Résumé du poste

University Hospitals is seeking a Clinical Documentation Integrity Specialist (Remote) to enhance the accuracy and completeness of patient medical records.

The role requires evaluating documentation, coordinating with clinicians, and drafting AHIMA-compliant queries. Ideal candidates have CDI experience, RN/RHIA/RHIT credentials, and strong collaboration with care teams in a fast-paced academic medical environment.

Qualifications

• Proven ability to review medical records for accuracy and completeness.
• Experience with ICD-10 coding and clinical documentation improvement.
• Knowledge of AHIMA and CMS guidelines for documentation practices.

Responsabilités

• Review medical records for accurate code assignment and documentation.
• Provide education to clinicians on documentation and coding improvements.
• Identify query opportunities and draft compliant physician queries.
• Collaborate with coding team to improve documentation quality and DRG accuracy.
• Participate in service line rounding and provider education sessions.

Connaissances

Clinical documentation

Coding terminology

AHIMA guidelines

Query writing

Team collaboration

Formation

Associate's Degree

Diploma in Nursing

Bachelor's Degree (preferred)

Outils

EHR systems

Coding software

Description du poste

University Hospitals is seeking a Clinical Documentation Integrity Specialist (Remote) to enhance the accuracy and completeness of patient medical records.

The role requires evaluating documentation, coordinating with clinicians, and drafting AHIMA-compliant queries. Ideal candidates have CDI experience, RN/RHIA/RHIT credentials, and strong collaboration with care teams in a fast-paced academic medical environment.