RN CDI Specialist: Clinical Documentation & DRG Expert

Advocate Health; Chicago (IL); On-site; USD 70,000 - 100,000; Full time

Job summary

Advocate Health is seeking a Clinical Documentation Improvement (CDI) specialist to enhance chart quality and accuracy in the medical record. You will review records, collaborate with physicians, and ensure documentation reflects acuity and regulatory requirements.

The role requires Illinois RN licensure, a BSN, and 5 years of relevant experience, with strong communication, critical thinking, and documentation skills to support coding and reimbursement processes.

Qualifications

• RN licensure in Illinois and BSN required.
• 5 years clinical experience with CDI preferred.
• Documentation improvement experience preferred.

Responsibilities

• Perform chart reviews to improve documentation quality and completeness.
• Communicate with healthcare team to ensure accurate documentation in the medical record.
• Conduct follow-up reviews to resolve clarifications and ensure recorded severity of illness.
• Identify principal diagnosis and complications for accurate DRG reflections per regulatory standards.
• Collaborate with coding staff to assign DRG and educate physicians on documentation opportunities.
• Provide education on clinical documentation and coding to internal customers.
• Maintain ongoing knowledge of ICD-10, DRGs, and payer requirements.
• Support performance improvement initiatives and report documentation findings.

Skills

Communication skills

Critical thinking

Interpersonal skills

Attention to detail

Documentation accuracy

Education

BSN

RN license - Illinois

Tools

EHR systems

ICD-10 knowledge

Job description

Advocate Health is seeking a Clinical Documentation Improvement (CDI) specialist to enhance chart quality and accuracy in the medical record. You will review records, collaborate with physicians, and ensure documentation reflects acuity and regulatory requirements.

The role requires Illinois RN licensure, a BSN, and 5 years of relevant experience, with strong communication, critical thinking, and documentation skills to support coding and reimbursement processes.