Senior CDI Specialist

R1 is the leading provider of technology-driven solutions that transform the patient experience and financial performance of hospitals, health systems, and medical groups. We are the one company that combines the deep expertise of a global workforce of revenue cycle professionals with the industry’s most advanced technology platform, encompassing sophisticated analytics, AI, intelligent automation, and workflow orchestration.  

 

As our Senior CDI Specialist, you will conduct clinically based concurrent and retrospective reviews of inpatient medical records to evaluate the clinical documentation of clinical services by identifying opportunities for improving the quality of medical record documentation.  Every day you will obtain appropriate physician documentation for any clinical conditions or procedures, engage physicians if information is needed in the medical record, and participate in ongoing documentation improvement initiatives.  To thrive in this role, you must have two or more years of CDI experience that includes MS-DRG and APR-DRG focused reviews.  Proficiency in basic computer skills is essential for excelling in this remote production-drive position. 

 

Here’s what you will experience working as a Senior CDI Specialist: 

• Reviews clinical documentation to facilitate the accurate representation of the severity of illness, expected risk of mortality, and complexity of care by improving the quality of the physician's clinical documentation. 

• Conduct focused reviews in areas identified by CDI leadership: Mortality reviews, PSI reviews, as well as other identified projects. 

• Serve as a subject matter expert and authoritative resource on interpretation and application of CDI practices, coding rules, and regulations and conducts risk assessments of potential and detected compliance deficiencies, as well as documentation improvement opportunities. 

• Initiates physician query when ambiguous, missing, or conflicting information is in the medical record, through the physician query process and/or participation in rounding with the physicians by requesting additional documentation for correct coding and compliance necessary for accurate reflection of CMI, LOS, and optimal resource utilization. 

• Partners with the HIMS coding staff to ensure the accuracy of diagnostic and procedural data and completeness of supporting documentation to determine a working and final DRG, severity of illness, risk of mortality, and quality outcomes. 

 

Required Skills: 

• A FMG, an active RN license or CCS Certification 

• An active CDI Certification including CCDS, CDIP, CRCR, or CPHQ is highly preferred 

For this US-based position, the base pay range is $64,657.00 - $80,821.00 per year . Individual pay is determined by role, level, location, job-related skills, experience, and relevant education or training.

This job is eligible to participate in our annual bonus plan at a target of 10.00%

The healthcare system is always evolving — and it’s up to us to use our shared expertise to