Remote RN Clinical Documentation Integrity Specialist

Mosaic Life Care; Missouri; Remote; USD 85,000 - 110,000; Full time

Job summary

Mosaic Life Care is seeking a CDI reviewer to perform initial and intermediate clinical documentation integrity reviews. You will work with providers to clarify documentation and ensure accurate ICD-10-CM/PCS coding and DRG assignment.

Responsibilities include reviewing denials, participating in appeals with physician advisors, and collaborating with the care team to maintain high-quality medical records. Strong nursing background and documentation skills are essential.

Qualifications

• Clinical coding/documentation knowledge and ICD-10-CM/PCS basics.
• Experience with documentation integrity processes and denial analyses.
• Ability to communicate with providers to clarify documentation.

Responsibilities

• Perform initial to intermediate CDI reviews for admissions and tracking.
• Assign ICD-10-CM/PCS codes and DRG baselines.
• Identify documentation gaps and query providers to capture accurate records.
• Review denials and participate in appeals with physician advisor.
• Collaborate with interdisciplinary team to ensure accurate medical records.

Skills

Clinical experience

Critical thinking

Communication

Data entry

Documentation skills

Attention to detail

Interpersonal skills

Team collaboration

Education

Associate's Degree - Nursing

Bachelor's Degree - Nursing

Job description

Mosaic Life Care is seeking a CDI reviewer to perform initial and intermediate clinical documentation integrity reviews. You will work with providers to clarify documentation and ensure accurate ICD-10-CM/PCS coding and DRG assignment.

Responsibilities include reviewing denials, participating in appeals with physician advisors, and collaborating with the care team to maintain high-quality medical records. Strong nursing background and documentation skills are essential.