Clinical Documentation Improvement (CDI Specialist)

Job Description

Key Responsibilities

  • Perform comprehensive clinical documentation improvement activities
  • Review and audit medical records for coding accuracy and compliance
  • Collaborate with clinical staff to ensure proper documentation practices
  • Support coding teams with IP coding guidance and audits
  • Identify opportunities to improve clinical documentation and coding processes

Requirements

  • Minimum 3 years of experience as an Inpatient (IP) coder
  • Minimum 5 years of audit experience, preferably in clinical or medical coding audits
  • Strong knowledge of coding guidelines, ICD-10, CPT, and clinical documentation standards
  • Excellent analytical and communication skills