RN Licensed CDI Quality Reviewer

Job Summary

A company is looking for a CDI Quality Reviewer.

Key Responsibilities

• Perform concurrent and retrospective reviews of inpatient medical records to assess documentation completeness and accuracy
• Validate clinical indicators supporting reported diagnoses and procedures
• Collaborate with CDI, coding, and audit teams to share findings, trends, and improvement opportunities

Required Qualifications

• Active RN license or other applicable clinical license
• Minimum 3-5 years of CDI, inpatient coding, or clinical documentation review experience
• 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