IP CDI Nurse

SENIOR CLINICAL DOCUMENTATION SPECIALIST (CDI)

Identify clinical documentation gaps and opportunities for clarification Develop and issue compliant physician queries Evaluate clinical indicators, diagnoses, procedures, SOI/ROM and CC/MCC opportunities Support accurate ICD-10-CM/PCS and DRG assignment Collaborate with physicians, coders, clinical teams and other healthcare stakeholders Monitor CDI quality, productivity and query performance metrics Provide guidance and mentoring to CDI Specialists Participate in audits, quality improvement and CDI program initiatives Ensure adherence to AHIMA, ACDIS, CMS and organizational CDI standards

Minimum 3 years’ clinical experience preferably in critical care/emergency setting. Will consider candidates with 4+years’ clinical experience in non-critical care acute care settings. Prefer candidates with IP CDI experience. Strong knowledge of ICD-10-CM/PCS, DRGs, CC/MCCs, SOI and ROM. Demonstrated experience with physician queries and documentation clarification. Strong clinical judgment and analytical skills. Excellent written and verbal English communication. Experience with Epic or other major EHR platforms preferred. CDI certification such as CDIP, CCDS, or CIC is highly preferred.