Clinical Documentation Integrity Specialist
Neolytix
full-time
Posted on:
Location Type: Remote
Location: Remote • 🇵🇭 Philippines
Visit company websiteSalary
💰 ₱30,000 - ₱45,000 per month
Job Level
Mid-LevelSenior
About the role
- Develop and implement CDI standards, policies, and query guidelines aligned with AHIMA and ACDIS best practices
- Perform documentation reviews and audits to identify improvement opportunities and clinical validation gaps
- Partner with providers and coding teams to ensure proper code assignment, DRG accuracy, and risk adjustment capture
- Conduct educational sessions for coders and providers on documentation best practices
- Support or lead the setup of a scalable offshore CDI operations team, including workflow design, QA, and KPI tracking
- Collaborate with clients on CDI performance reports and provide actionable insights
- Stay up to date with CMS, HCC, and payer documentation requirements
Requirements
- 3+ years of experience in Clinical Documentation Integrity, Coding, or Clinical Validation
- Strong understanding of ICD-10-CM/PCS, CPT/HCPCS, HCC, and DRG methodologies
- Experience in both inpatient and outpatient CDI environments
- Hands-on experience with query writing, provider education, and audit processes
- Certifications preferred: AHIMA: CDIP ACDIS: CCDS, CCDS-O
- Excellent written and verbal communication skills
- Prior experience in healthcare BPO/MSO or offshore CDI operations is a plus
- Familiarity with EHR/Encoder tools (3M, Optum, Iodine, Epic, etc.) preferred
Benefits
- Competitive base salary + performance bonus
- HMO
- Paid time off
- Training
- CDI certification support
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard skills
Clinical Documentation IntegrityICD-10-CMICD-10-PCSCPTHCPCSHCCDRGquery writingdocumentation auditsrisk adjustment
Soft skills
communicationcollaborationeducational traininganalytical skillsproblem-solving
Certifications
CDIPCCDSCCDS-O