CDI Quality Reviewer (Remote)
- Perform concurrent and retrospective reviews of inpatient medical records to assess documentation completeness and accuracy
- Validate clinical indicators supporting reported diagnoses and procedures
- Identify documentation gaps impacting DRG assignment, SOI/ROM, and quality metrics
- Flag documentation risks that may affect audits, denials, or compliance
- Provide clear, written review notes and recommendations aligned with official coding and CDI guidelines
- Collaborate with CDI, coding, and audit teams to share findings, trends, and improvement opportunities
- Support audit defense and documentation quality initiatives as needed
- Maintain quality and productivity standards while working independently in a remote environment
- Active RN license or other applicable clinical license
- Minimum 3–5 years of CDI, inpatient coding, or clinical documentation review experience, including both concurrent and retrospective review
- One of the following credentials required: CDIP, CCDS, or CCS
- Strong understanding of DRGs, SOI/ROM, and inpatient documentation standards
- Knowledge of Official Coding Guidelines and ACDIS/AHIMA practices
- Ability to analyze complex clinical documentation and apply critical thinking
- Comfortable working independently in a fully remote role
- Experience supporting external audits or payer reviews
- Exposure to multiple service lines, including medicine, surgery, and critical care
- Experience working in Epic or other major EHRs
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