RN CDI Specialist: Drive Clinical Documentation & Revenue

R1 RCM, Inc.; Tennessee; On-site; USD 90,000 - 130,000; Full time

Job summary

R1 RCM, Inc. is seeking a Clinical Documentation Improvement (CDI) Specialist to enhance inpatient documentation accuracy and coding integrity across records.

You will conduct concurrent and retrospective reviews, engage physicians to obtain documentation, and support CMS compliance while improving patient care data quality. You will collaborate with coders, auditors, and clinicians, stay current with regulatory changes, and drive documentation improvements related to mortality and severity of

Qualifications

• Active US RN license required.
• Associate degree in nursing; BSN preferred.
• Three to five years of clinical work in medical-surgical areas, ICU, telemetry, or ED.
• Frontline CDI experience in an acute care hospital.

Responsibilities

• Initiates physician interaction to obtain missing or conflicting documentation for accurate coding and compliance.
• Educates physicians and staff on documentation requirements and reimbursement policies.
• Applies hospital coding guidelines to assign DRGs at highest specificity.
• Collaborates with coders, auditors, and quality teams to resolve documentation issues.
• Stays updated on CDI standards, coding rules, and regulatory requirements.
• Performs mortality and PSI reviews and other CDI projects.

Skills

RN license

CDI experience

Healthcare coding

Education

Associate’s Degree in Nursing

Bachelor’s Degree in Nursing (preferred)

Tools

Job description

R1 RCM, Inc. is seeking a Clinical Documentation Improvement (CDI) Specialist to enhance inpatient documentation accuracy and coding integrity across records.

You will conduct concurrent and retrospective reviews, engage physicians to obtain documentation, and support CMS compliance while improving patient care data quality. You will collaborate with coders, auditors, and clinicians, stay current with regulatory changes, and drive documentation improvements related to mortality and severity of