Remote CDI Specialist: Inpatient Documentation

Jobgether SRL; United States; Remote; USD 68,000 - 113,000; Full time

Benefits offered by this job

Fully remote position in the United St

401(k) retirement plan

Medical and vision insurance

Professional development support

Job summary

Jobgether is seeking a Clinical Documentation Integrity (CDI) Specialist based in the United States. The role is fully remote and focuses on improving inpatient documentation accuracy, DRG assignments, and physician queries.

Responsibilities include concurrent reviews, documentation clarity, and collaboration with physicians and coding teams to ensure compliant codes and outcomes. A clinical background and CDI experience are required.

Qualifications

• Bachelor's degree preferred; advanced degree may substitute for formal education.
• Credentials: RN, MD or equivalent, RHIA, RHIT, or CCS.
• 2+ years of acute-care inpatient hospital coding or CDI experience.
• Familiarity with encoder systems and MS-DRG assignment.
• Knowledge of official coding guidelines and Coding Clinic resources.

Responsibilities

• Conduct concurrent reviews of inpatient records per CDI priorities and timelines.
• Identify incomplete or unclear documentation and suggest clarifications.
• Prepare compliant queries using approved templates for physicians.
• Determine principal/secondary diagnoses to update MS-DRG.
• Monitor documentation and update DRGs and LOS considerations.
• Collaborate with coding teams on ICD-10 questions and DRG reconciliation.
• Participate in DRG reconciliation and departmental initiatives.

Skills

Attention to detail

Communication skills

Analytical thinking

Independent work

Clinical knowledge

Education

Bachelor's degree preferred

RN/MD or equivalent credentials (RHIA/RHIT/CCS)

Tools

CDI software

EHR systems

MS-DRG awareness

ICD-10 coding references

Job description

Jobgether is seeking a Clinical Documentation Integrity (CDI) Specialist based in the United States. The role is fully remote and focuses on improving inpatient documentation accuracy, DRG assignments, and physician queries.

Responsibilities include concurrent reviews, documentation clarity, and collaboration with physicians and coding teams to ensure compliant codes and outcomes. A clinical background and CDI experience are required.