Clinical Documentation Integrity Specialist

Job Summary

A company is looking for a Clinical Documentation Integrity (CDI) Specialist, remote position.

Key Responsibilities

• Develop and implement CDI standards, policies, and query guidelines aligned with AHIMA and ACDIS best practices
• Perform documentation reviews and audits to identify improvement opportunities and clinical validation gaps
• Partner with providers and coding teams to ensure proper code assignment, DRG accuracy, and risk adjustment capture

Qualifications

• 1-3 years of experience in Clinical Documentation Integrity, Coding, or Clinical Validation
• Strong understanding of ICD-10-CM/PCS, CPT/HCPCS, HCC, and DRG methodologies
• Experience in both inpatient and outpatient CDI environments
• Hands-on experience with query writing, provider education, and audit processes
• Certifications preferred: AHIMA: CDIP, ACDIS: CCDS, CCDS-O