Job Function: Cdi Clinical Documentation Improvement
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United States (remote)
24 days ago
United States
24 days ago
Job Type
Job Duration
Min Experience
2-3 Years
Min Education
Associates Degree
Required Travel
Salary - Type
Yearly Salary
Job Function
CDI/ Clinical Documentation Improvement



CDI Specialists will collaborate extensively with physicians, nursing staff, other patient caregivers, and medical records coding staff to improve the quality, specificity, accuracy and completeness of the documentation of care provided and coded. CDI Specialist will review medical records for opportunities for diagnosis clarification and validity as it pertains to DRG assignment, severity of illness, risk of mortality, and case mix data as well as timely, accurate and complete documentation of clinical information used for measuring and reporting physician and facility outcomes. These goals will be accomplished by chart review and query placement when appropriate following AHIMA guidelines and CorroHealth policies and procedures.


Essential Duties and Responsibilities

  • Adheres to all coding and clinical documentation improvement guidelines as endorsed by ACDIS and AHIMA.
  • Analyze records for potential query opportunities and appropriate DRG assignment.
  • Research, analyze, and respond to inquiries regarding queries issued and their compliance, potential coding errors, diagnoses at risk for denials, reconciliation of CDI reviewed charts and other reportable diagnoses.
  • In all situations, protect the privacy and confidentiality of patient health and client information, and follow the Standards of Ethical Coding as set forth by AHIMA and adhere to official coding guidelines and compliance practices, standards, and procedures.

Important Duties and Responsibilities

  • Conduct clinical documentation reviews and/or Audits as assigned meeting the productivity standards as set by record type for each project or client productivity expectations. The threshold for billable productive hours, when client work is available, is expected to be at 95%.
  • Report work time and work products in a timely and accurate manner in SalesForce.
  • Communicates with coworkers in an open and respectful manner that promotes teamwork and knowledge sharing.
  • Interact with clients in a professional manner that, at all times, exhibits excellent relationship, work performance and communication skill so as to support the company and its business interests.
  • Provide schedule of planned work activities, events and sites, and any changes to same, to Management and appropriate staff.
  • Maintenance of professional credentials and knowledge of CDI, coding, reimbursement and compliance issues through continuing education.
  • Periodic travel, as required.
  • Other duties and responsibilities, as assigned.

Knowledge, Skills & Abilities: Qualifications

Desired Minimum Qualifications:

  • Experience with telecommuting and electronic medical record systems required.
  • Strong analytical skills.
  • Works well with numbers, using basic math skills.
  • Strong team player.
  • Ability to work with multiple and diverse clients and projects.
  • Ability to work with minimal supervision.
  • Ability to maintain and access multiple files.
  • Assure that work product is completed with high levels of accuracy and attention to detail.

Education & Experience:

  • Recognized CDI credential from ACDIS (CCDS) or AHIMA (CDIP)
  • Current RN license
  • Two or more years working as a clinical documentation specialist
  • Three years or more clinical experience in an acute care setting
  • Associate degree, prefer Bachelor’s degree or Master’s Degree

Note: The essential duties and responsibilities below are intended to describe the general duties and responsibilities of this position and are not intended to be an exhaustive statement of duties. This position may perform all or most of the primary duties listed below. Specific tasks, responsibilities or competencies may be documented in the Team Member’s performance objectives as outlined by the Team Member’s immediate Leadership Team Member.

Note: Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions as described.  Regular eye-hand coordination and manual dexterity is required to operate office equipment. The ability to perform work at a computer terminal for 6-8 hours a day and function in an environment with constant interruptions is required. At times, Team Members are subject to sitting for prolonged periods. Infrequently, Team Member must be able to lift and move material weighing up to 20 lbs. Team Member may experience elevated levels of stress during periods of increased activity and with work entailing multiple deadlines.
A job description is only intended as a guideline and is only part of the Team Member’s function. The company has reviewed this job description to ensure that the essential functions and basic duties have been included. It is not intended to be construed as an exhaustive list of all functions, responsibilities, skills and abilities. Additional functions and requirements may be assigned by supervisors as deemed appropriate.

Job ID: 73235400

Please refer to the company's website or job descriptions to learn more about them.

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