Certified Clinical Documentation Integrity (CDI) Specialist – RN

Key Responsibilities

• Conduct detailed concurrent and retrospective clinical documentation reviews across client sites to identify documentation improvement opportunities.
• Collaborate with client physicians and leadership to clarify documentation and ensure accurate reflection of patient acuity and resource utilization.
• Develop and issue compliant physician queries, adhering to AHIMA and ACDIS standards.
• Educate and mentor client staff and providers on CDI best practices, coding principles, and documentation requirements.
• Analyze and report CDI findings and trends, offering actionable insights and recommendations for process improvement.
• Support client CDI program development and optimization, including workflow design, policy alignment, and performance metric tracking.
• Participate in implementation projects for CDI software tools and workflow redesign initiatives.
• Contribute to internal consulting knowledge base by sharing clinical, coding, and operational insights with peers and leadership.
• Represent the firm professionally with clients, maintaining confidentiality, accuracy, and high standards of consulting integrity.

Requirements

• Active Registered Nurse (RN) License required.
• CCDS or CDIP required. Must maintain current and active status for all professional licenses and certifications.

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

• Experience: 3–5 years of progressive CDI experience in acute care or consulting environments.
• Strong knowledge of ICD-10-CM/PCS, MS-DRG, APR-DRG, risk adjustment and clinical coding guidelines.
• Proven success in provider engagement and interdisciplinary collaboration.
• Experience supporting CDI or coding improvement initiatives in multiple facility or health system settings preferred.

Skills & Competencies

• Excellent written and verbal communication with a consultative and professional demeanor.
• Strong analytical and problem-solving abilities.
• High proficiency in EHR and CDI technology (Epic, Cerner, Iodine, 3M, Nuance, or equivalent).
• Ability to balance multiple client projects with attention to detail and timelines.
• Independent, adaptable, and collaborative work style suited for a dynamic consulting environment.

Prior consulting firm experience or multi-client CDI support background.

Exposure to outpatient CDI and risk-adjusted quality measures (e.g., HCCs, MIPS).

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