California Licensed CDI Specialist

Job Summary

A company is looking for a Clinical Documentation Integrity (CDI) Specialist who will review clinical documentation for accuracy and compliance.

Key Responsibilities:

• Conduct concurrent and retrospective reviews of medical records to identify documentation gaps and ensure compliance with coding standards
• Initiate provider queries and educate on best documentation practices to enhance clarity
• Support quality reporting measures and maintain audit-ready documentation practices

Required Qualifications:

• Active RN, MD, DO, or International Medical Graduate (IMG) license/credential
• 2+ years of recent clinical and/or acute care experience
• 1+ years of Clinical Documentation Integrity (CDI) experience
• Advanced knowledge of ICD 10 CM coding, MS DRGs, SOI/ROM, and quality indicators
• Familiarity with EHR systems and knowledge of AHIMA/ACDIS compliant query practices