Remote Inpatient Clinical Documentation Improvement (CDI) Specialist

This is a remote position.

We are seeking a detail-oriented and experiencedInpatient Clinical Documentation Integrity (CDI) Specialist Ito join our remote team. This role is essential in supporting our client’s CDI program with a special focus onreconciliation of prior reviews, weekend case coverage, and follow-up documentationacross all service lines.

The ideal candidate will have a strong background inrisk adjustment coding,concurrent inpatient CDI review, and be comfortable working independently in aproduction-driven environment. This position requires flexibility to workweekend shifts(e.g., Friday–Tuesday, Saturday–Wednesday, or Thursday–Monday) and is fully remote, with residency required in one of the approved U.S. states.

Key Responsibilities:

• Conduct concurrent reviews of inpatient medical records to ensure accurate and complete documentation.
• Prioritize reconciliation of previous CDI reviews and ensure continuity of documentation integrity over weekends.
• Query providers for clarification or additional documentation as needed.
• Collaborate with physicians, coders, and clinical staff to improve documentation quality and accuracy.
• Utilize3M360, Optum, and EPICsystems for chart review and data analysis.
• Monitor documentation trends and identify opportunities for improvement.
• Educate clinical staff on documentation best practices and compliance standards.
• Ensure adherence to all applicable coding guidelines, regulations, and internal policies.

Requirements

• Education:High School diploma or GED required.
• Certifications (Required):CDIP (Certified Documentation Improvement Practitioner) or CCDS (Certified Clinical Documentation Specialist).
• Licensure (Required, One of the following):RHIT, RHIA, RN, RRT, CCS, CCS-P, or an international/domestic medical degree (FMG/MD).
• Experience:
  • Minimum2 years of inpatient CDI experiencewith concurrent review responsibilities.
  • Recent experience (within the last 12 months) in aproduction-focused CDI role.
  • Risk adjustment coding experiencestrongly preferred.
• Technology Skills:Proficiency inEPIC, 3M360, and Optum platforms.
• Soft Skills:Strong analytical thinking, excellent communication, and attention to detail.
• Schedule:40 hours/week, 8-hour shifts, with required weekend coverage (e.g., Fri–Tues, Sat–Wed, or Thurs–Mon).
• Location:Fully remote. Must be US based.

Benefits

Originally posted on Himalayas