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Clinical Documentation Integrity (CDI) Specialist
Vee TechnologiesCDI Specialist conducting concurrent inpatient reviews for Vee Healthtek’s healthcare transformation services. Improving coding accuracy, clinical validation, physician engagement, and compliant reimbursement.
Core Competencies
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Demonstrates expertise in clinical documentation improvement (CDI) with a strong focus on ICD-10-CM/PCS coding accuracy, MS-DRG/APR-DRG assignment, and compliance with AHIMA/ACDIS guidelines. Proven ability to collaborate with healthcare teams to enhance documentation quality and reduce denials while maintaining knowledge of CMS regulations and coding standards.
ATS Keywords
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About the role
Key responsibilities & impact- Perform concurrent inpatient documentation reviews to identify opportunities for improved documentation specificity, clinical validation, and coding accuracy
- Conduct compliant physician queries following AHIMA/ACDIS guidance
- Support accurate ICD-10-CM/PCS coding, MS-DRG/APR-DRG assignment, POA indicators, CC/MCC capture, SOI/ROM, PSIs, HACs, and quality metrics
- Perform clinical validation reviews for high-impact and complex diagnoses
- Collaborate with coding, CDI, quality, and physician teams to improve documentation quality and reduce denials
- Provide physician and CDI education based on documentation trends and audit findings
- Monitor productivity, quality, and compliance standards
- Participate in internal audits and continuous improvement initiatives
- Maintain current knowledge of CMS regulations, ICD-10-CM/PCS, Coding Clinic, AHIMA, and ACDIS guidance
- Meet established productivity and quality benchmarks
- Improve documentation accuracy and physician engagement
- Support denial prevention and compliant reimbursement
Requirements
What you’ll need- Active RN license or graduation from an accredited medical program (MD, DO, MBBS, NP, PA, or equivalent clinical background)
- CCDS or CDIP certification required
- Minimum 5 years of concurrent inpatient CDI experience in an acute care hospital
- Strong knowledge of MS-DRG and APR-DRG reimbursement
- Knowledge of ICD-10-CM/PCS, clinical validation, and compliant query practices
- Experience with Epic, Cerner, Solventum 360, Iodine, SmarterDx, or similar CDI platforms
- Knowledge of SOI/ROM, POA, PSIs, HACs, Vizient, Elixhauser, CMS IPPS, AHA Coding Clinic, and AHIMA/ACDIS query guidance
- Excellent clinical judgment, communication, presentation, and interdisciplinary collaboration skills
- U.S. work eligibility information is requested in the application
Benefits
Comp & perks- Medical, dental, and vision benefits effective the first of the month following date of hire
- 401k benefits
- Paid holidays
- PTO/personal time
- Opportunities to work on complex CDI programs
- Professional development opportunities
- Collaborative team supporting leading U.S. health systems