Massachusetts Licensed CDI Specialist

Job Summary

To enhance quality outcomes through risk-adjusted reporting, the full-time remote Massachusetts Licensed CDI Specialist will conduct advanced clinical documentation reviews for inpatient encounters, identifying discrepancies and issuing compliant queries to support organizational quality initiatives.

Key responsibilities

• Perform inpatient risk adjustment CDI reviews to identify documentation discrepancies affecting quality outcomes
• Accurately interpret clinical information and evaluate indicators to identify potential diagnoses and query opportunities
• Collaborate with primary CDI specialists to ensure accurate clinical documentation and appropriate principal diagnosis assignment

Required qualifications

• Registered Nurse (RN), Advanced Practice Clinician (NP/PA), or other clinically licensed professional
• 5 years of acute medical/surgical care experience required
• 3-5 years of advanced inpatient clinical documentation improvement experience required
• Certification in Clinical Documentation preferred