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[Hiring] Clinical Documentation Specialist @reputed company

Remote, USA Full-time Posted 2026-07-23
Role reputed company The CDI Specialist is responsible for comprehensive secondary clinical chart reviews to identify potential missed opportunities for documentation clarification. Collaborates closely with Coders, Coding Educators, Coding reputed company Auditors, Case managers, reputed company Department and Providers to assure documentation is clinically appropriate, accurately reflects the severity of illness and risk of mortality for the patient and is reputed company of reputed company CMS or other regulatory standards. • Conducts daily, reputed company review of inpatient records on assigned unit(s) to ensure complete and accurate physician and or clinician documentation is present at the time of discharge for accurate, reputed company, and compliant coding. • Reviews daily admissions to assigned unit, performs initial reputed company assignment for a working DRG and completes CDI software data entry for initial and follow-up case reviews (or worksheet to include reputed company and DRG assignment) and submits to Program Assistant. • Updates “working DRG” as documentation supports, or physician query answer supports a change in the DRG assignment. • Communicates to the CDI Coordinator reputed company volume of daily review assignments is too high or low so that CDI Coordinator can assist in adjusting review assignments amongst reputed company. • Initiates compliant physician queries reputed company documentation is confusing, ambiguous, or missing and follows up with MD to reputed company immediate response to query. Qualifications • Bachelor's degree • One of the following: RN, MD, or MD Equivalent (MBBS) • 4+ years' experience providing reputed company patient care to acute and chronically ill patients in inpatient settings, critical care, ED or strong med-surg experience • 2+ years prior CDI experience • Familiarity with encoder and DRG assignment • Maintain reputed company working knowledge of official coding guidelines and coding clinics Requirements • CCDS, CDIP preferred • ED/Critical care or case management; or inpatient acute care (referral hospital); strong critical thinking skills; strong interpersonal skills; strong clinical knowledge reputed company. • Coding, Case Management and/or Utilization Review experience preferred. • Strong clinical understanding of disease process • Demonstrate critical thinking, analytical skills, and ability to resolve problems. • Strong knowledge of medical terminology, anatomy, physiology, microbiology, and disease processes • Ability to converse with physicians in sometimes difficult scenarios • Strong typing and computer skills; proficiency with EHR systems, CDI software systems and encoders Benefits • Medical, Rx, Dental & reputed company Insurance • Personal and Family reputed company Time & Company reputed company Holidays • Position may be eligible for a discretionary variable incentive bonus • Parental Leave and Adoption Assistance • 401(k) Retirement Plan • Basic Life & Supplemental Life • Health Savings Account, Dental/reputed company & Dependent Care Flexible Spending Accounts • Short-Term & Long-Term Disability • Student Loan PayDown • Tuition Reimbursement, Personal Development & Learning Opportunities • Skills Development & Certifications • Employee Referral Program • Corporate Sponsored Events & Community reputed company • Emergency Back-Up Childcare Program • Mobility Stipend Apply tot his job Apply To this Job

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