RN CDI Specialist: Elevate Clinical Documentation

R1 RCM, Inc.; Montgomery (AL); On-site; USD 52,000 - 98,000; Full time

Benefits offered by this job

Annual bonus

Job summary

R1 RCM Inc. is seeking a Clinical Documentation Improvement (CDI) Specialist in the United States to perform concurrent and retrospective reviews of inpatient records.

You will identify documentation opportunities to improve quality, support severity of illness, and coding accuracy while collaborating with physicians and the CDI team. The role requires an Associate’s Degree in Nursing, an active US RN license, and 3–5 years of frontline CDI experience in an acute care hospital.

Qualifications

• CDI-focused expertise in clinical documentation and coding to optimize reimbursement and quality outcomes.
• Front-line CDI experience in an acute care hospital.
• Familiarity with EMR platforms and CDI systems.

Responsibilities

• Initiates physician interaction through queries to obtain complete documentation for accurate coding and reflection of CMI and LOS.
• Educates physicians and staff on documentation requirements and reimbursement policies.
• Collaborates with coders, auditors, and CDI team to resolve documentation issues and improve coding accuracy.

Skills

CDI practices

Coding knowledge

Documentation requirements

Education

Associate’s Degree in Nursing

Active US RN license

Job description

R1 RCM Inc. is seeking a Clinical Documentation Improvement (CDI) Specialist in the United States to perform concurrent and retrospective reviews of inpatient records.

You will identify documentation opportunities to improve quality, support severity of illness, and coding accuracy while collaborating with physicians and the CDI team. The role requires an Associate’s Degree in Nursing, an active US RN license, and 3–5 years of frontline CDI experience in an acute care hospital.