Remote Pediatric CDI Specialist Educator

Keystone Distinction Group; Northern (KY); Hybrid; USD 90,000 - 130,000; Full time

Benefits offered by this job

Remote work

401(k) with company match

Paid time off

Professional development

CEUs

Company-provided equipment

Holidays

Job summary

Keystone Distinction Group is seeking a Pediatric Clinical Documentation Integrity Specialist (remote) to partner with physicians and coding professionals to improve pediatric record accuracy and reimbursement outcomes.

The role involves concurrent and retrospective reviews, developing provider queries, and educating teams on documentation standards to ensure compliant coding and DRG alignment across pediatric care settings.

Qualifications

• Minimum of three years of clinical documentation integrity experience.
• At least one year focused specifically on pediatric populations.
• Strong understanding of pediatric physiology, disease processes, treatments, clinical indicators, and documentation requirements.
• Experience reviewing pediatric medical records and identifying documentation and query opportunities.
• Working knowledge of ICD-10-CM/PCS, Official Coding Guidelines, MS-DRG/APR-DRG methodology, severity of illness, risk of mortality, medical necessity, and quality reporting.
• Knowledge of AHIMA and ACDIS guidance for compliant query practices.
• Ability to evaluate complex pediatric medical records using clinical judgment and critical-thinking skills.
• Experience collaborating with physicians, advanced practice providers, coding professionals, and multidisciplinary healthcare teams.

Responsibilities

• Perform concurrent and retrospective reviews of pediatric medical records to evaluate documentation completeness, clinical specificity, and accuracy.
• Identify documentation opportunities related to pediatric diagnoses, procedures, complications, comorbidities, severity of illness, risk of mortality, medical necessity, and quality measures.
• Evaluate pediatric documentation using ICD-10-CM/PCS guidelines and regulatory requirements.
• Develop compliant provider queries to clarify incomplete or unsupported documentation.
• Educate pediatric physicians, advanced practice providers, residents, and teams on documentation requirements and best practices.
• Collaborate with pediatric coding professionals to align clinical documentation with accurate code and DRG assignment.
• Maintain accurate records of reviews, queries, interventions, and outcomes.

Skills

Clinical documentation integrity

Pediatric CDI

Critical thinking

Medical records review

Query development

Education & training

Remote collaboration

Education

RN

CCDS

CDIP

Tools

EHR systems

CDI software

Job description

Keystone Distinction Group is seeking a Pediatric Clinical Documentation Integrity Specialist (remote) to partner with physicians and coding professionals to improve pediatric record accuracy and reimbursement outcomes.

The role involves concurrent and retrospective reviews, developing provider queries, and educating teams on documentation standards to ensure compliant coding and DRG alignment across pediatric care settings.