JOB OVERVIEW

DeliverHealth is seeking an experienced Clinical Documentation Improvement (CDI) Specialist to support the continuous improvement of InstaNote's AI-powered Clinical Documentation Improvement (CDI) feature.

The primary responsibility of this role is to evaluate the quality, clinical relevance, and accuracy of the CDI recommendations generated by InstaNote during patient encounters. The specialist will validate AI-generated suggestions, identify false positives, false negatives, and missed documentation opportunities, and provide structured feedback to Product Management and Engineering teams to continuously enhance the performance of the CDI engine.

This is not a traditional operational CDI role focused on physician queries or concurrent hospital documentation reviews. Instead, this is a Product Quality and Clinical AI role that ensures InstaNote delivers clinically meaningful, accurate, and actionable documentation improvement recommendations.

This role serves as the critical link between clinical expertise, revenue cycle knowledge, and AI product development.





JOB DUTIES & RESPONSIBILITIES

1. VALIDATE AI-GENERATED CDI RECOMMENDATIONS

REVIEW AND VALIDATE CDI RECOMMENDATIONS GENERATED BY INSTANOTE, INCLUDING:

* MISSING DIAGNOSES

* DIAGNOSIS SPECIFICITY

* HCC AND RISK ADJUSTMENT OPPORTUNITIES

* CC/MCC OPPORTUNITIES

* MEDICAL NECESSITY DOCUMENTATION

* PROCEDURE DOCUMENTATION

* SEVERITY OF ILLNESS (SOI)

* RISK OF MORTALITY (ROM)

* MISSING CLINICAL DETAILS

* DOCUMENTATION CLARIFICATION OPPORTUNITIES

* QUALITY MEASURE DOCUMENTATION

* CHRONIC CONDITION DOCUMENTATION

* MEDICATION-RELATED DOCUMENTATION OPPORTUNITIES

FOR EACH RECOMMENDATION, DETERMINE WHETHER IT IS:

* CLINICALLY ACCURATE

* RELEVANT TO THE ENCOUNTER

* SUPPORTED BY DOCUMENTATION

* ACTIONABLE FOR THE PROVIDER

* HIGH VALUE FROM A CODING AND REIMBURSEMENT PERSPECTIVE

2. Review AI-Generated Clinical Notes

EVALUATE CLINICAL NOTES GENERATED BY INSTANOTE TO DETERMINE WHETHER:

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📌 Clinical Documentation Improvement Specialist (India)
🏢 Deliverhealth Solutions
📍 India