Certified Clinical Documentation Integrity (CDI) Specialist - RN
- Conduct detailed concurrent and retrospective clinical documentation reviews across client sites to identify documentation improvement opportunities.
- Collaborate with client physicians and leadership to clarify documentation and ensure accurate reflection of patient acuity and resource utilization.
- Develop and issue compliant physician queries, adhering to AHIMA and ACDIS standards.
- Educate and mentor client staff and providers on CDI best practices, coding principles, and documentation requirements.
- Analyze and report CDI findings and trends, offering actionable insights and recommendations for process improvement.
- Support client CDI program development and optimization, including workflow design, policy alignment, and performance metric tracking.
- Participate in implementation projects for CDI software tools and workflow redesign initiatives.
- Contribute to internal consulting knowledge base by sharing clinical, coding, and operational insights with peers and leadership.
- Represent the firm professionally with clients, maintaining confidentiality, accuracy, and high standards of consulting integrity.
- Travel up to 10% (as needed) for onsite assessments, education sessions, and client engagement activities.
- Active Registered Nurse (RN) License required.
- CCDS, CDIP, or CCS certification required.
- Must maintain current and active status for all professional licenses and certifications.
- Note: This specific role requires a clinical nursing background; Foreign Medical Graduates (FMGs) will not be considered.
- 3–5 years of progressive CDI experience in acute care or consulting environments.?
- Strong knowledge of ICD-10-CM/PCS, MS-DRG, APR-DRG, risk adjustment and clinical coding guidelines.?
- Proven success in provider engagement and interdisciplinary collaboration.?
- Experience supporting CDI or coding improvement initiatives in multiple facility or health system settings preferred.?
- Excellent written and verbal communication with a consultative and professional demeanor.?
- Strong analytical and problem-solving abilities.?
- High proficiency in EHR and CDI technology (Epic, Cerner, Iodine, 3M, Nuance, or equivalent).?
- Ability to balance multiple client projects with attention to detail and timelines.?
- Independent, adaptable, and collaborative work style suited for a dynamic consulting environment.?
- Prior consulting firm experience or multi-client CDI support background.?
- Exposure to outpatient CDI and risk-adjusted quality measures (e.g., HCCs, MIPS).?
- Advanced education or training in clinical data analytics or quality improvement.?
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