Remote Clinical Documentation Improvement (CDI) Specialist

Santa Barbara Cottage Hospital; Maryland; Remote; USD 70,000 - 90,000; Full time

Job summary

A leading healthcare provider is seeking a Remote Clinical Documentation Improvement (CDI) Specialist to enhance their CDI program. This role demands expertise in EPIC electronic health records and involves reviewing medical records to ensure compliance and accuracy. Candidates should possess strong analytical skills, certifications in CDI, and a minimum of two years experience in the field. Fully remote position with health insurance and benefits included.

Benefits

Full Health Insurance

Other benefits

Qualifications

• Minimum 2 years of Clinical Documentation Improvement (CDI) experience required.
• CDIP or CCDS certifications required.

Responsibilities

• Review medical records for complete and accurate documentation.
• Educate physicians and clinical staff on best practices for documentation.
• Collaborate with healthcare teams to improve documentation integrity.

Skills

Analytical skills

Communication

Attention to detail

Education

FMG (Foreign Medical Graduate), MD, or RN

Tools

EPIC

Job description

Remote Clinical Documentation Improvement (CDI) Specialist

We are seeking experienced Clinical Documentation Improvement (CDI) Specialists to support our client’s CDI program. This role is fully remote and requires expertise in EPIC electronic health records. CDI Specialists will collaborate with healthcare teams to ensure the accuracy, completeness, and specificity of clinical documentation to improve coding accuracy, quality metrics, and overall patient care outcomes.

Key Responsibilities:

Review medical records to ensure complete and accurate documentation that reflects the severity of illness, risk of mortality, and proper reimbursement.

Query providers for clarification or additional documentation when necessary.

Collaborate with physicians, coders, and clinical staff to improve documentation integrity.

Utilize EPIC for chart review and data analysis.

Monitor and track documentation trends to identify improvement opportunities.

Educate physicians and clinical staff on best practices for documentation.

Ensure compliance with all applicable regulations, policies, and coding guidelines.

Requirements

Location: Fully Remote (Must reside in AZ, AR, CA, CO, FL, GA, ID, IL, LA, MI, MN, MO, MT, NV, NJ, NC, OH, OR, PA, SC, TN, TX, UT, VA, WA)

Schedule: Monday - Friday, 8:00 AM - 5:00 PM PST (40 hrs/week)

Degree/Certifications: FMG (Foreign Medical Graduate), MD, or RN required.

Certifications: CDIP (Certified Documentation Improvement Practitioner) or CCDS (Certified Clinical Documentation Specialist) required.

Experience: Minimum 2 years of CDI experience required.

Technology Skills: Must be proficient in EPIC electronic medical records system.

Soft Skills: Strong analytical skills, excellent communication, and attention to detail.

Hiring Process:

Pass client assessment.

Interview with client.

Client offers Full Health Insurance and other benefits.