RN CDI Specialist: Elevate Clinical Documentation Quality

MACON HOSPITAL INC; Lafayette (TN); On-site; USD 67,000 - 89,000; Full time

Job summary

MACON HOSPITAL INC seeks a Clinical Documentation Integrity Specialist for a full-time position in Lafayette, TN. The CDI specialist will perform concurrent and retrospective reviews of inpatient records, querying providers to ensure accurate documentation and proper coding to support DRG assignments.

The role requires an active RN license and 3+ years of CDI experience in an inpatient setting, with proficiency in ICD-10-CM/PCS, MS-DRG and APR-DRG payment models, plus strong communication and

Qualifications

• RN license required.
• 3+ years CDI experience in inpatient facility.
• Experience with ICD-10-CM/PCS, MS-DRG and APR-DRG payment models.
• Knowledge of AHIMA Query Guidelines and coding standards.

Responsibilities

• Performs concurrent and retrospective review of inpatient records to improve documentation quality.
• Communicate with providers to ensure accurate documentation of diagnoses and procedures.
• Generate compliant clinical queries for clarification of diagnoses and quality indicators.
• Provide CDI education and support to hospital staff and coding teams.
• Collaborate with providers, case managers, and HIM professionals to ensure coding accuracy and address DRG discrepancies.

Skills

Critical thinking

Communication skills

Time management

Education

Active RN License

Tools

Microsoft Word

Microsoft Excel

PowerPoint

Job description

MACON HOSPITAL INC seeks a Clinical Documentation Integrity Specialist for a full-time position in Lafayette, TN. The CDI specialist will perform concurrent and retrospective reviews of inpatient records, querying providers to ensure accurate documentation and proper coding to support DRG assignments.

The role requires an active RN license and 3+ years of CDI experience in an inpatient setting, with proficiency in ICD-10-CM/PCS, MS-DRG and APR-DRG payment models, plus strong communication and