CDI Specialist

Job Description

In this role, you will review patient medical records to ensure clinical documentation accurately supports diagnoses, procedures, and DRG assignment in alignment with coding guidelines and regulatory standards. You will identify documentation gaps or inconsistencies that could impact reimbursement and work directly with physicians and care teams to obtain clarification through compliant queries and follow-up reviews. You will partner closely with coding teams to reconcile documentation with final coding outcomes, resolve DRG discrepancies, and ensure an accurate representation of patient severity of illness and level of care. Throughout your work, you will support documentation improvement initiatives, contribute to quality and compliance efforts, and leverage independent judgment to drive accuracy, reduce denials, and improve overall revenue cycle performance.

We are a company committed to creating diverse and inclusive environments where people can bring their full, authentic selves to work every day. We are an equal opportunity/affirmative action employer that believes everyone matters. Qualified candidates will receive consideration for employment regardless of their race, color, ethnicity, religion, sex (including pregnancy), sexual orientation, gender identity and expression, marital status, national origin, ancestry, genetic factors, age, disability, protected veteran status, military or uniformed service member status, or any other status or characteristic protected by applicable laws, regulations, and ordinances. If you need assistance and/or a reasonable accommodation due to a disability during the application or recruiting process, please send a request to View email address on click.appcast.io learn more about how we collect, keep, and process your private information, please review Insight Global's Workforce Privacy Policy:

Skills and Requirements

-Active RN License

-2+ years of CDI experience

-Strong understanding of ICD-10 coding guidelines and DRG methodologies (MS-DRG/APR-DRG) -CDI Certification (CCDS, CDIP)

-Epic Experience

-CDE1 Experience