CDI Specialist

Job Summary

Conducting detailed post-discharge reviews of inpatient medical records, the part-time hourly CDI Specialist will ensure accurate and compliant clinical documentation while collaborating with internal teams to enhance coding accuracy and quality reporting.

Key responsibilities

• Perform retrospective reviews of inpatient medical records to evaluate documentation accuracy, completeness, and compliance
• Identify opportunities for improvement related to severity of illness, risk of mortality, and accurate code assignment
• Collaborate with coding, CDI, and quality teams to support standardized documentation practices and communicate findings to stakeholders

Required qualifications

• At least one of the following credentials: CCDS, CDIP, RHIT, RHIA, RN, or equivalent
• A minimum of 3 years of CDI, coding, or clinical experience, preferably in an inpatient setting
• Demonstrated knowledge of ICD-10-CM/PCS coding guidelines and DRG methodology
• Experience performing retrospective CDI reviews is strongly preferred
• Familiarity with clinical documentation standards, reimbursement methodologies, and quality metrics