Remote CDI Specialist I - Elevate Documentation Quality

Prisma Health; Columbia (SC); On-site; USD 65,000 - 95,000; Full time

Job summary

Prisma Health is seeking a Clinical Documentation Integrity (CDI) Specialist to review medical records and identify documentation opportunities that accurately reflect severity of illness, risk of mortality, length of stay, and hospital quality metrics. You will submit provider queries and reconcile discharged records to ensure precise coding.

This position can be 100% remote, with duties including concurrent medical record reviews, education for providers, and collaboration with care teams.

Qualifications

• Associate degree in Nursing or Health Information Management required.
• Two years of adult medical/surgical/critical care/ER/PACU nursing coding or related experience preferred.
• RHIA/RHIT/CCS/CIC certification or RN licensure is a plus.

Responsibilities

• Reviews medical records to identify documentation opportunities for severity of illness, risk of mortality, length of stay, and hospital quality metrics.
• Submits queries to providers and reconciles discharged records for accurate coding.
• Collaborates with Coding and other departments to ensure accuracy, quality, and completeness of documentation.

Skills

Computer skills

Communication skills

Medical coding knowledge

Attention to detail

Education

Associate degree in Nursing

Health Information Management

RN license

Tools

ICD-10 Coding knowledge

MS-DRG/APR-DRG knowledge

RHIA/RHIT/CCS/CIC

Job description

Prisma Health is seeking a Clinical Documentation Integrity (CDI) Specialist to review medical records and identify documentation opportunities that accurately reflect severity of illness, risk of mortality, length of stay, and hospital quality metrics. You will submit provider queries and reconcile discharged records to ensure precise coding.

This position can be 100% remote, with duties including concurrent medical record reviews, education for providers, and collaboration with care teams.