Clinical Documentation Integrity Specialist (Full-Time)
Health Care Administrators Association® (HCAA) · New York, New York, United States · 1 wk ago
On-siteAdministrativeFull-time
Role: Clinical Documentation Integrity Specialist (FMG, DO or MD) Responsibilities Perform clinical documentation reviews and audits to ensure accuracy and completeness of provider documentation and ICD-10 coding.Collaborate with providers and coding teams to support correct APR-DRG and MS-DRG assignments.Develop compliant clinical queries and communicate effectively with providers for timely responses.Analyze, monitor, and report CDI metrics, identifying opportunities for performance improvement.Educate providers and leadership on documentation best practices, coding guidelines, and regulatory compliance. Qualifications & Skills Educational requirement: MD, DO, or MBBS with ECFMG Certification.Certifications: AHIMA CDIP, ACDIS CCDS, or AHIMA CCS.Strong clinical knowledge of medicine, pathophysiology, differential diagnoses, and treatment protocols.Expertise in ICD-10-CM/PCS coding standards and documentation standards.Experience with CDI audits, provider education, denial management, clinical appeals, and proficiency with DRG software and EHR systems like Epic or Meditech.