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.)
State: Minnesota
City: Rochester
Employment Type: Remote - Clinical
Contract Length: 19 weeks

Job Description

• Monday – Friday, 8 AM to 5 PM
• Inpatient Clinical Documentation Integrity (ICDI) Specialist role focused on inpatient CDI reviews with productivity expectations
• Responsibilities include reconciliation with Coding, MS-DRG assignment, risk-adjustment documentation (CMS, HCC, Vizient, etc.)
• Review patient medical records (inpatient and/or outpatient) to ensure accurate representation of severity of illness and proper coding
• Validate that coding reflects medical necessity and facilitates accurate reporting of patient illness severity, risk of mortality, and complexity of care
• Identify documentation gaps using advanced knowledge of disease processes, medications, and critical thinking
• Collaborate extensively with physicians, coding, case management, nursing, and other caregivers to improve documentation quality
• Serve as an educator and resource to physicians and allied health staff to enhance clinical documentation completeness
• Ensure compliance with federal and state regulations, official coding rules, and accepted standards of coding practice
• Must provide own equipment

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
• Strong analytical thinking and problem-solving skills
• Effective verbal and written communication skills, able to present ideas clearly to physicians, management, and healthcare team members
• Self-motivated and able to work independently without close supervision
• Ability to work well in a collaborative, creative, and challenging environment
• Flexibility to work varied hours, including possible evenings and weekends as needed

Education & Certifications

• High School diploma or GED required
• One of the following credentials required:

  • Certified Documentation Improvement Practitioner (CDIP) OR
  • Certified Clinical Documentation Specialist (CCDS)
• And one of the following:

  • Registered Health Information Technician (RHIT)
  • Registered Health Information Administrator (RHIA)
  • Registered Nurse (RN)
  • Registered Respiratory Therapist
  • Certified Coding Specialist (CCS)
  • Certified Coding Specialist-Physician-based (CCS-P)
  • International or Domestic Medical Degree

Additional Notes

• This is a 100% remote position, allowing work from anywhere in the U.S.
• The role requires adherence to ethical and legal business procedures and compliance with all relevant regulations and standards.