Remote Inpatient CDI Specialist | DRG & Coding QA

Visa Hunt; San Francisco (CA); Hybrid; GBP 51,000 - 153,000; Full time

Job summary

Mercor is seeking a Clinical Documentation Integrity (CDI) Specialist for a remote contract role. You will review AI-agent CDI/coding attempts, judge accuracy, and ensure proper DRG recomputation and documentation in the record.

Responsibilities include identifying fabricated or overstated work, verifying cited labs and encounters, and writing clear, specific rationales for approval or denial on each attempt, while maintaining compliance and quality standards.

Qualifications

• 2+ years inpatient hospital CDI experience required.
• Experience with ICD-10-CM/PCS and MS-DRGs.
• Ability to spot unsupported diagnoses and craft queries.
• Credentials: CCDS/CDIP/CCS or RHIA/RHIT or RN with CDI background.
• Comfort using CAC/CDI software and reviewing full clinical records.

Responsibilities

• Review AI-agent CDI attempts and judge correctness and support in the record.
• Confirm work is completed, codes updated, holds placed, DRG recomputed, and notes filed.
• Identify fabricated or overstated work and verify labs/docs/encounters exist.
• Ensure proper action on each chart: verify-before-finalize for code changes or queries.
• Write clear, specific agree/disagree rationales on each attempt.

Skills

Inpatient CDI experience

DRG coding/auditing

ICD-10-CM/PCS knowledge

RN CDI credentials or equivalent

Education

RHIA/RHIT

CCDS

CDIP

CCS

RN with CDI experience

Tools

CAC/CDI software

Job description

Mercor is seeking a Clinical Documentation Integrity (CDI) Specialist for a remote contract role. You will review AI-agent CDI/coding attempts, judge accuracy, and ensure proper DRG recomputation and documentation in the record.

Responsibilities include identifying fabricated or overstated work, verifying cited labs and encounters, and writing clear, specific rationales for approval or denial on each attempt, while maintaining compliance and quality standards.