Certified Clinical Documentation Integrity (CDI) Specialist – RN

This is a fully remote position, open to applicants in Europe.

📋 Description

• Act as a reliable advisor to client organizations, offering expert insights into clinical documentation practices.

• Perform thorough concurrent and retrospective clinical documentation evaluations across client facilities.

• Work in partnership with client physicians and leadership to enhance documentation clarity.

• Create and distribute compliant physician queries, following AHIMA and ACDIS standards.

• Provide education and mentorship to client staff and providers on best practices in Clinical Documentation Improvement (CDI).

• Analyze and present findings and trends related to CDI.

• Assist in the development and optimization of client CDI programs.

• Engage in implementation projects for CDI software tools and initiatives related to workflow redesign.

• Uphold a professional representation of the firm with clients, ensuring confidentiality and accuracy.

⛳️ Requirements

• Active Registered Nurse (RN) License is mandatory.

• CCDS or CDIP certification is required.

• Must keep all professional licenses and certifications current and active.

• Note: This particular role necessitates a clinical nursing background; Foreign Medical Graduates (FMGs) will not be considered.

• 3–5 years of progressive experience in CDI within acute care or consulting settings.

• Strong understanding of ICD-10-CM/PCS, MS-DRG, APR-DRG, risk adjustment, and clinical coding guidelines.

• Demonstrated success in engaging providers and fostering interdisciplinary collaboration.

• Preferred experience in supporting CDI or coding enhancement initiatives across multiple facilities or health systems.

• Excellent written and verbal communication skills, with a consultative and professional approach.

• Strong analytical and problem-solving skills.

• High level of proficiency in EHR and CDI technologies (Epic, Cerner, Iodine, 3M, Nuance, or equivalent).

• Capability to manage multiple client projects with a focus on details and deadlines.

• Independent, adaptable, and collaborative working style suited for a dynamic consulting environment.

• Preferred: Experience with a consulting firm or background in multi-client CDI support.

• Familiarity with outpatient CDI and risk-adjusted quality measures (e.g., HCCs, MIPS).

• Advanced education or training in clinical data analytics or quality improvement.

🏝️ Benefits

• Travel up to 10% (as necessary) for onsite assessments, educational sessions, and client engagement activities.