Clinical documentation specialist
3 days ago
As a CDI, you will review clinical documentation in electronic health records to ensure accuracy, completeness, and compliance with coding standards. You will issue compliant queries to physicians and collaborate with internal teams to support documentation integrity. This includes leadership, compliance management, quality audits, and training governance.
• Perform concurrent reviews of inpatient records using EHR platforms (e.g., Iodine, Epic)
• Identify documentation gaps and issue compliant, patient-specific queries
• Apply knowledge of DRG classification, ICD-10-CM/PCS, and coding guidelines
• Maintain accurate logs of reviews, query status, and follow-ups in designated systems
• Achieve productivity and quality benchmarks under the CDI program
• Manage multiple CDI teams and leads; drive quality, efficiency, and compliance
• Define and implement standardized workflows aligned with enterprise goals
• Partner with US and India leadership on training, reporting, and process improvements
Working Hours - US shift
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