Travel Nurse RN - Clinical Document Improvement Specialist
Rochester, MN
PRIDE Health
5x8 hrs
Referral Bonus

Job Opportunity: CDI Specialist I (Remote - Clinical)

Location: Remote (within the U.S.)
Specialty: Clinical Documentation Integrity (CDI) Specialist
Contract Length: 20 weeks

Job Description

• Monday – Friday, 8 AM to 5 PM
• Inpatient Clinical Documentation Integrity (ICDI) Specialist role focused on reviewing patient medical records in inpatient and/or outpatient settings
• Responsibilities include:

  • Conducting inpatient CDI reviews with productivity expectations
  • Reconciling documentation with coding and MS-DRG assignment
  • Risk-adjustment documentation (CMS, HCC, Vizient, etc.)
  • Validating that coding reflects medical necessity and accurately represents severity of illness, risk of mortality, and complexity of care
  • Identifying documentation gaps and opportunities for improvement in concurrent and retrospective reviews
  • Collaborating extensively with physicians, coding staff, case management, nursing, and other caregivers
  • Serving as an educator and resource to improve clinical documentation quality and completeness
  • Ensuring compliance with federal and state regulations, official coding rules, and accepted standards of coding practice
• Must provide own equipment
• 100% remote work

Qualifications

• Minimum 2 years of experience as an Inpatient Clinical Documentation Integrity Specialist (ICDIS), including concurrent review of medical records and production role experience within the last 12 months
• High School diploma or GED required
• Required certifications (one or more):

  • Certified Documentation Improvement Practitioner (CDIP) or Certified Clinical Documentation Specialist (CCDS)
  • Registered Health Information Technician (RHIT)
  • Registered Health Information Administrator (RHIA)
  • Registered Nurse (RN)
  • Registered Respiratory Therapist
  • Certified Coding Specialist (CCS) or Certified Coding Specialist-Physician-based (CCS-P)
  • International or Domestic Medical Degree
• Strong analytical thinking and problem-solving skills
• Effective verbal and written communication skills, including ability to present ideas to physicians and healthcare team members
• Self-motivated and able to work independently without close supervision
• Ability to work well with others in a creative and challenging environment
• Flexibility to work evenings and weekends as needed to meet business demands

Work Environment

• Remote clinical role with a focus on inpatient documentation review
• Collaborative and educational role supporting clinical and coding teams
• Ethical and legal compliance required in all duties and responsibilities