Position Summary
As a CDI Specialist, you will review clinical documentation in electronic health records to ensure accuracy, completeness, and compliance with coding standards. You will issue compliant queries to physicians and collaborate with internal teams to support documentation integrity.
Major Responsibilities:
Perform concurrent reviews of inpatient records using EHR platforms (e.g., Iodine, Epic)
Identify documentation gaps and issue compliant, patient-specific queries
Apply knowledge of DRG classification, ICD-10-CM/PCS, and coding guidelines.
Maintain accurate logs of reviews, query status, and follow-ups in designated systems.
Achieve productivity and quality benchmarks under the CDI program.
Education & Experience:
•
Bachelor’s degree in Life Sciences, or equivalent
Required
•
3–6 years of experience in medical coding or CDI in an acute care or RCM setting (some type of coding experience required; in-patient coding experience highly preferred)
Required
•
Certified Clinical Documentation Specialist (CCDS/CDIP) or AHIMA/AAPC credential
Preferred
•
Proficiency with ICD-10, DRG grouping, and query compliance practices
Required
•
Strong communication, analytical, and clinical interpretation skills
Required