We are hiring an Advanced Clinical Documentation Integrity (CDI) Specialist to review patient records, improve clinical documentation quality, and ensure accurate ICD-10 coding, DRG assignment, and reimbursement.
Eligibility:
- Graduate in Life Sciences, Nursing, or Pharmacy (B.Sc./M.Sc., B.Pharm/M.Pharm)
- 1+ year of CDI or Health Information Management experience
- CDIP, CCDS, or CDEI certification preferred
Key Responsibilities
- Review inpatient charts for documentation accuracy and completeness
- Identify documentation gaps and raise physician queries
- Strong understanding of anatomy, pathophysiology, and pharmacology.
- Support ICD-10, MS-DRG/APR-DRG compliance
- Conduct retrospective reviews for Mortality, HAC, and PSI cases
- Collaborate with providers to improve documentation quality
Required Skills
- Solid clinical and anatomy knowledge
- ICD-10 coding & DRG understanding
- EHR/MS Office proficiency
- Excellent communication and analytical skills