Clinical Documentation Integrity (CDI) Specialist

Clinical Documentation Integrity (CDI) Specialist

We are seeking an experienced CDI Specialist for a fully remote contract-to-hire opportunity. This position focuses on reviewing inpatient medical records, identifying documentation improvement opportunities, and collaborating with physicians to ensure accurate diagnosis capture and MS-DRG assignment.

Key Responsibilities:

• Review approximately 20–25 inpatient cases daily.
• Identify documentation gaps and develop compliant physician queries.
• Maintain approximately a 30% query rate.
• Review Internal Medicine cases, including Sepsis, CHF, COPD, Pneumonia, Diabetes, Malnutrition, and Acute Kidney/Liver Injuries.
• Support accurate MS-DRG assignment, reconciliation, and documentation compliance.

Qualifications:

• RN or MD required.
• 5+ years of inpatient CDI experience preferred.
• BSN, CCDS, or CDIP certification preferred.
• Strong knowledge of MS-DRGs, clinical indicators, and compliant query practices.
• EPIC and 3M experience preferred.
• Excellent clinical reasoning and communication skills.

Additional Details:

• Employment Type: Contract-to-Hire (Approximately 6 months)
• Schedule: Monday–Friday, approximately 8:00 AM–4:30 PM
• Hours: 40 hours/week
• Work Arrangement: 100% Remote
• Approved States: AL, MS, LA, TX, GA, SC, FL, KS, AR, TN, MO, NE
• Systems: EPIC and 3M
• Equipment: Company-provided
• Interview Process: One virtual team interview (approximately 45 minutes).

Perks:

• Fully remote opportunity.
• Consistent Monday–Friday schedule.
• Company-provided equipment.
• Opportunity for permanent employment.
• Collaborative clinical documentation team.