Remote CDI Specialist: Second Review & Documentation Expert

Medix; Michigan; On-site; USD 51,000 - 76,000; Full time

Benefits offered by this job

Fully remote

Health benefits

401k

Paid sick leave

Short term disability

Term life insurance

Job summary

Medix is seeking a Clinical Documentation Specialist to perform second reviews of patient charts and ensure accurate documentation. This fully remote role requires CDI experience and completion of an accredited nursing program.

The candidate will collaborate with CDI specialists and coders to promote high-quality clinical documentation. Responsibilities include reviewing diagnoses and DRGs, addressing missing information, and issuing queries to providers.

Qualifications

• 2+ years of CDI experience
• Completion of an accredited nursing program (BSN preferred)
• Experience in Mortality Risk Assessment
• HIPAA-compliant work setup
• Familiarity with Epic software
• Nice to have: iodine CDI

Responsibilities

• Check the work queue to identify charts needing a second review.
• Prioritize urgent, high-risk, or soon-to-be-billed cases.
• Compare patient chart documentation with clinical evidence.
• Review diagnoses, codes, and assigned DRG.
• Identify and address missing, conflicting, or unsupported information.
• Engage with CDI specialists or coders to discuss discrepancies.
• Send compliant queries to providers for clarification.
• Follow up on unanswered queries or unresolved cases.
• Document review findings and monitor outcomes.
• Share trends with the CDI manager and assist in educating the team.

Skills

CDI experience

Second Reviewer

Epic software

Education

Accredited nursing program

Tools

Epic software

Job description

Medix is seeking a Clinical Documentation Specialist to perform second reviews of patient charts and ensure accurate documentation. This fully remote role requires CDI experience and completion of an accredited nursing program.

The candidate will collaborate with CDI specialists and coders to promote high-quality clinical documentation. Responsibilities include reviewing diagnoses and DRGs, addressing missing information, and issuing queries to providers.