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Remote Inpatient Clinical Documentation Improvement Specialist

Remote, USA Full-time Posted 2025-11-03
Description: • 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. • Utilize 3M360, Optum, and EPIC systems 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: Minimum 2 years of inpatient CDI experience with concurrent review responsibilities. • Recent experience (within the last 12 months) in a production-focused CDI role. • Risk adjustment coding experience strongly preferred. • Technology Skills: Proficiency in EPIC, 3M360, and Optum platforms. • Soft Skills: Strong analytical thinking, excellent communication, and attention to detail. Benefits: • Full Health Insurance • other benefits Apply Job! Apply to this Job

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