
Clinical Documentation Improvement
21 hours ago
Join our team as a CDI Specialist and play a vital role in ensuring that clinical records reflect the true complexity of patient care. Your expertise will help bridge the gap between clinical care and coding, supporting better outcomes, compliance, and reimbursement.
Key Responsibilities
- Review inpatient and outpatient medical records for completeness, accuracy, and compliance.
- Collaborate with physicians, nurses, and coders to clarify documentation.
- Identify opportunities for improvement in clinical documentation practices.
- Ensure documentation supports appropriate coding and DRG assignment.
- Educate healthcare providers on best practices in documentation.
- Monitor CDI metrics and contribute to continuous improvement initiatives.
Qualifications
- Graduate of Nursing, Allied Health, or any medical-related course.
- Clinical background preferred.
- Experience in CDI/coding is required
- Certification in CDI (e.g., CCDS, CDIP) is a strong advantage.
- Knowledge of ICD-10-CM/PCS coding and DRG systems.
- Strong analytical, communication, and interpersonal skills.
- Experience with EHR systems and CDI software tools.
Why Join Us?
- Be part of a mission-driven team improving healthcare quality.
- Work in a collaborative and supportive environment.
- Opportunities for professional growth and certification support.
- Competitive compensation and benefits package.
- Hybrid work setup
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