Clinical Documentation Improvement (CDI) Specialist
Philadelphia Metro Area, Pennsylvania
Category: Healthcare
Reference ID: 10083769
Shortcut: http://addisongroup.gosnaphop.com/lS6PGp
Job Title: Clinical Documentation Improvement (CDI) Specialist
Location (City, State): Philadelphia, PA (Remote with Initial Onsite Training)
Industry: Healthcare / Clinical Documentation Improvement
Pay: $50 - $55/hr
Benefits: This position is eligible for medical, dental, vision, and 401(k).
About Our Client:
Our client is a leading academic medical center and Level I Trauma Hospital in Philadelphia, PA. They are seeking an experienced CDI Specialist to support clinical documentation accuracy, quality reporting, and regulatory compliance across their hospital system.
Job Description:
We are seeking an experienced Clinical Documentation Improvement (CDI) Specialist for a remote, contract-to-hire opportunity. This individual will conduct comprehensive inpatient chart reviews, identify documentation gaps, collaborate with physicians, and ensure accurate clinical documentation and quality reporting. Candidates must reside in Pennsylvania, New Jersey, or Delaware and be available for initial onsite training.
Key Responsibilities:
- Perform approximately 25 CDI reviews daily, including 10 initial reviews and 15 follow-up reviews.
- Review inpatient medical records to validate primary and secondary diagnoses.
- Conduct physician queries to clarify clinical documentation and improve accuracy.
- Review Patient Safety Indicators (PSIs), Hospital-Acquired Conditions (HACs), mortality cases, and high-risk diagnoses such as sepsis.
- Utilize Vizient to evaluate quality-reporting variables and hospital performance measures.
- Identify documentation gaps, coding discrepancies, and compliance concerns.
- Collaborate with physicians, coding teams, and clinical staff to improve documentation quality.
- Maintain established productivity and accuracy standards.
Qualifications:
- Preferred: Active Registered Nurse (RN) license; LPNs and Physician Assistants (PAs) will also be considered.
- Required: 5+ years of nursing experience.
- Previous Clinical Documentation Improvement (CDI) experience.
- Strong understanding of ICD-10-CM, DRGs, clinical validation, and inpatient documentation requirements.
- Knowledge of PSIs, HACs, mortality reviews, and quality reporting.
- Experience with Epic, 3M (Solventum), and Vizient preferred.
- Strong analytical, communication, and physician-query skills.
- Must reside in Pennsylvania, New Jersey, or Delaware.
- Must be available for onsite training and occasional meetings.
Additional Details:
- Location: Remote after initial onsite training in Philadelphia, PA.
- Schedule: Monday–Friday, daytime hours within 5:30 AM–8:00 PM EST.
- Training Schedule: 7:00 AM–4:30 PM EST for approximately 30–90 days, depending on experience and progress.
- Contract Type: Contract-to-Hire.
- Contract Duration: 6+ months before conversion.
- Systems: Epic, 3M, Vizient, and Iodine.
- Onsite Requirements: Initial training, equipment pickup, and occasional meetings as requested.
Perks:
- Remote work flexibility following initial training.
- Opportunity to work with a leading academic medical center.
- Contract-to-hire opportunity with potential for long-term employment.
- Collaborative environment with experienced clinical and coding professionals.
- Opportunity to contribute to patient safety, clinical documentation quality, and hospital performance outcomes.
Addison Group is an Equal Opportunity Employer. Addison Group provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, gender, sexual orientation, national origin, age, disability, genetic information, marital status, amnesty, or status as a covered veteran in accordance with applicable federal, state and local laws. Addison Group complies with applicable state and local laws governing non-discrimination in employment in every location in which the company has facilities. Reasonable accommodation is available for qualified individuals with disabilities, upon request.
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