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Cdi Nursing Job Jobs (NOW HIRING)

Medasource

CDI Nurse

Murray, UT · On-site

$45 - $50/hr

Bachelor's degree in a related field (e.g., Nursing, Biology, Health Sciences) preferred. * Five ... Expertise in CDI practices, coding, and documentation requirements related to quality outcomes ...

Med Center Health

CDI Educator

Bowling Green, KY · On-site

$34 - $45.75/hr

... nursing management, Medical Staff, Providers, Residents, Fellows, Medical Students and ancillary department staff as needed in support of accurate clinical documentation, coding, billing and ...

Med Center Health

CDI Educator

Bowling Green, KY · On-site

$34 - $45.75/hr

... nursing management, Medical Staff, Providers, Residents, Fellows, Medical Students and ancillary department staff as needed in support of accurate clinical documentation, coding, billing and ...

Franciscan Health

CDI Education Specialist

Associate's Degree Nursing or Healthcare related field - Required * Bachelor's Degree Nursing or ... CDI Education Specialist: $73,278.40 - $100, 776.00 INCENTIVE: Not Applicable EQUAL OPPORTUNITY ...

Vertek Staffing

CDI Specialist

Franklin, TN · Remote

$33.50 - $45/hr

CDI Specialist - Remote Acute Care Hospital Experience Required Required Education * High School ... Required: * Active, unrestricted Registered Nurse (RN) license Preferred Certifications:

Valleywise Health System

CDI Specialist RN Ld

Phoenix, AZ · On-site

$39.96 - $58.94/hr

Requires a bachelor's degree in nursing, or an advanced clinical degree (MD, DO, PA, NP). Experience: * Must have a minimum of seven (7) years of Clinical Documentation Integrity (CDI) experience ...

CommonSpirit Health

$41.14 - $67.88/hr

Associate's degree in nursing, Health Information Management (HIM), or a related healthcare field * Current CDI- or coding-related certification to be maintained, such as CCDS, CDIP, CCS, RHIA, RHIT ...

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Cdi Nursing Job information

What does a CDI nursing job do?

A CDI (Clinical Documentation Improvement) nurse reviews and analyzes patient medical records to ensure accurate, complete, and compliant documentation. They collaborate with healthcare providers to improve documentation quality, which supports proper coding, billing, and quality reporting. CDI nurses often use electronic health record systems and require knowledge of medical terminology and coding standards.

How to get a CDI nursing job?

To secure a CDI nursing job, candidates typically need a registered nurse (RN) license, relevant clinical experience, and certification in clinical documentation improvement (CDI). Strong communication skills and familiarity with electronic health records (EHR) systems are also important for success in this role.

Are CDI nurses in demand?

CDI (Clinical Documentation Improvement) nurses are increasingly in demand due to the need for accurate medical documentation and coding compliance in healthcare. Their skills in clinical assessment, documentation, and collaboration with healthcare teams make them valuable, especially as hospitals focus on reimbursement and quality metrics.
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Cdi Nursing Job jobs near you
Infographic showing various Cdi Nursing Job job openings in the United States as of August 2026, with employment types broken down into 1% As Needed, 70% Full Time, 23% Part Time, and 6% Contract. Highlights an 95% Physical, 1% Hybrid, and 4% Remote job distribution.

CDI Nurse

Medasource

Murray, UT • On-site

$45 - $50/hr

Contractor

Re-posted 21 days ago

Job description

Clinical Documentation Improvement Specialist
Remote Role
This is a Remote role.
Compensation: $45-$50/hr
Contract Length: 6 months
Hours: 40 hour Standard Work Hours
Start Date: ASAP
ABOUT THE ROLE
Our client is seeking a Clinical Documentation Improvement Specialist for a 6-month remote contract position, available to start immediately. In this role, you will leverage your clinical and coding expertise to conduct concurrent and retrospective reviews of inpatient medical records, identifying opportunities to enhance the quality and accuracy of clinical documentation. You will facilitate and obtain appropriate physician documentation to support accurate severity of illness, risk of mortality, and complexity of care, and lead documentation improvement initiatives. The position involves developing and delivering education to providers and CDI team members, conducting focused reviews in areas such as mortality and PSI, collaborating with coding staff, and serving as a subject matter expert on CDI practices and compliance. You will also be responsible for supporting onboarding and training of new CDI team members, ensuring compliance with Joint Commission requirements, and participating in departmental and organizational projects related to documentation improvement.
WHAT YOU'LL DO
  • Conduct concurrent and retrospective reviews of inpatient medical records to evaluate and improve clinical documentation quality.
  • Facilitate and obtain appropriate physician documentation to support accurate severity of illness, risk of mortality, and complexity of care.
  • Perform focused reviews in areas identified by CDI leadership, such as mortality and PSI reviews, and participate in related projects.
  • Communicate review results and recommendations to leadership, CDI specialists, and other staff; recommend corrective actions as needed.
  • Develop and deliver ongoing education and training for providers and CDI team members on documentation improvement practices, trends, and areas of opportunity.
  • Assist with onboarding and training of new CDI team members and lead new CDI specialist orientation.
  • Serve as a subject matter expert and authoritative resource on CDI practices, coding rules, and compliance; conduct risk assessments for compliance deficiencies and documentation improvement opportunities.
  • Utilize hospital coding policies, federal and state guidelines, and coding clinic guidelines to assign and review DRGs for accuracy and specificity.
  • Initiate physician queries and participate in rounds to resolve ambiguous, missing, or conflicting documentation for accurate coding and compliance, supporting correct CMI, LOS, and optimal resource utilization.
  • Collaborate with HIMS coding staff to ensure accuracy and completeness of diagnostic and procedural data for quality outcomes, including working and final DRG assignment, severity of illness, and risk of mortality.
  • Lead provider engagement and relationship-building efforts related to CDI and documentation improvement initiatives.
  • Lead and participate in departmental and organizational projects focused on documentation improvement.
  • Abide by all Joint Commission requirements, including sensitivity to cultural diversity, patient care, patients' rights, ethical treatment, safety and security, emergency management, teamwork, respect for others, ongoing education, communication, and adherence to safety and quality programs.
  • Perform all duties and responsibilities in accordance with hospital programs and sustain compliance with National Patient Safety Goals, licensure, and health screenings.
WHAT YOU BRING
  • Bachelor's degree in a related field (e.g., Nursing, Biology, Health Sciences) preferred.
  • Five (5) years of progressively responsible and directly related clinical work experience.
  • Two (2) years of experience as a Clinical Documentation Improvement Specialist or equivalent.
  • Experience with MS-DRG and APR-DRG focused reviews; quality outcomes (PSI, HAC, etc.) focused CDI review experience preferred.
  • Knowledge of AMA, CMS, AAPC medical code sets and coding methodologies (MS DRGs, APR DRGs, HCCs, CPT, E/M codes).
  • Expertise in CDI practices, coding, and documentation requirements related to quality outcomes, profiling, and reimbursement; self-motivated to stay current with CMS rules and regulations.
  • Ability to conduct concurrent and retrospective reviews of inpatient medical records and analyze problems with an understanding of regulatory, quality outcome, and reimbursement impact.
  • Strong interpersonal, verbal, and written communication skills, with demonstrated mastery in collaborating with multidisciplinary teams and delivering formal education/training.
  • Experience in public speaking and delivery of formal education, as well as mastery in verbal English communication.
  • Proficiency with electronic medical record systems, reporting software, and Microsoft Office applications (Word, Excel, PowerPoint).
  • Ability to work independently with minimal supervision, manage multiple tasks, and prioritize work across multiple departments.
  • Demonstrated judgment, critical thinking, and independent decision-making skills, with the ability to track activities and communications across multiple groups.
  • Highly adaptable and self-aware, with a willingness to seek out and accept change.
  • Expertise in developing and maintaining strong, collaborative, and supportive working relationships with CDI peers, physicians, and other clinical professionals.
  • Ability to effectively provide and receive feedback, both positive and constructive.
  • Knowledge and application of AHIMA and ACDIS ethical standards.

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