Clinical Documentation Improvement (CDI) Specialist

Clinical Documentation Improvement Specialist

Insight Global is seeking a fully remote Clinical Documentation Improvement (CDI) Specialist to support a Healthcare AI client. This is a part-time opportunity working approximately 1020 hours/week where candidates will leverage their CDI expertise to evaluate, validate, and improve AI-driven documentation improvement strategies. This role is highly analytical and requires a strong understanding of inpatient documentation, DRG methodologies, and compliant query practices. Laptop and equipment will be provided.

Shift Times: Flexible scheduling within Monday-Friday, 9am-8pm PST (can't work weekends) (must be available 10-20 hours/week from 9am-8pm PST // ideal for individuals seeking additional income)

Duration: 3-month contract (potential to extend)

Responsibilities:

• Review inpatient medical records and evaluate AI-generated CDI recommendations for documentation improvement opportunities
• Assess the accuracy, reasoning quality, and compliance of AI-identified CDI queries
• Identify gaps where AI recommendations diverge from compliant CDI practices and explain discrepancies
• Analyze clinical documentation to identify CC/MCC opportunities, severity of illness (SOI), and risk of mortality (ROM) indicators
• Provide detailed clinical reasoning behind documentation improvement opportunities to help enhance AI modeling and outputs
• Ensure queries are compliant, non-leading, and appropriately structured to maintain positive provider relationships
• Partner with product and GTM teams to critique presentations and provide subject matter expertise on CDI workflows and best practices

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.