RN CDI Reviewer: Second-Level DRG & Denials Expert

Tucson Medical Center; Tucson (AZ); On-site; USD 75,000 - 105,000; Full time

Job summary

Tucson Medical Center seeks an RN Clinical Documentation Integrity Second-Level Reviewer to support physician and CDI teams in improving documentation quality and DRG accuracy. The role requires collaborating with HIM, coding staff, and leadership to ensure proper SOI/RAM and denials handling.

Responsibilities include second-level reviews, queries to providers, data collection, and reporting. A BSN and 3 years in an acute hospital setting are required; CCDS/CDIP preferred.

Qualifications

• Graduation from a qualified nursing program.
• Three (3) years of Medical/Surgical nursing experience in an acute hospital setting.
• Professional certification: CCDS or CDIP preferred.

Responsibilities

• Collaborates with physicians, HIM, and CDI team to improve documentation quality.
• Performs second-level reviews of clinical documentation for DRG accuracy and patient safety indicators.
• Queries providers to clarify documentation and ensures accurate coding and DRG assignments.
• Participates in CDI meetings and provides training on guidelines and denial trends.

Skills

RN Nursing

CDI knowledge

Documentation

Communication

Education

Bachelor of Science in Nursing (BSN)

Tools

EPIC

3M/Solventum

Job description

Tucson Medical Center seeks an RN Clinical Documentation Integrity Second-Level Reviewer to support physician and CDI teams in improving documentation quality and DRG accuracy. The role requires collaborating with HIM, coding staff, and leadership to ensure proper SOI/RAM and denials handling.

Responsibilities include second-level reviews, queries to providers, data collection, and reporting. A BSN and 3 years in an acute hospital setting are required; CCDS/CDIP preferred.