Job Title: Inpatient CDI Specialist
Location: 100% Remote – Work from Anywhere in the U.S.
Duration: 30-Week Contract with Chances of Extension
Schedule: Sun- Thu | 8x5 per week
Pay Range: $50-$60/hour (W2) (Negotiable)
Key Responsibilities:
- Review inpatient medical records concurrently and retrospectively to ensure accurate clinical documentation and coding support.
- Analyze medical records to capture severity of illness, risk of mortality, complexity of care, and medical necessity accurately.
- Identify documentation gaps and collaborate with physicians, coders, case management, nursing, and clinical staff to improve record accuracy and completeness.
- Facilitate physician queries and documentation clarification to support compliant coding and reimbursement practices.
- Validate that discharge diagnoses, co-morbidities, and procedures accurately reflect the patient’s clinical condition and treatment provided.
- Apply advanced knowledge of pathophysiology, medications, disease processes, coding guidelines, and regulatory compliance standards.
- Support quality improvement initiatives related to documentation integrity, coding accuracy, and reimbursement optimization.
- Serve as a clinical documentation resource and educator for physicians and healthcare staff.
- Maintain compliance with federal and state regulations, coding guidelines, and documentation integrity standards.
Requirements:
- Minimum 2 years of recent experience as an Inpatient Clinical Documentation Integrity Specialist (ICDIS) required.
- Experience performing concurrent inpatient medical record review in a production-based environment within the last 12 months required.
- Strong analytical thinking, problem-solving, and critical thinking skills required.
- Excellent verbal and written communication skills with the ability to collaborate effectively with physicians and healthcare teams required.
- Ability to work independently in a remote environment with minimal supervision required.
- High School Diploma or GED required.
Required Certifications / Credentials (One or More):
- Certified Clinical Documentation Specialist
- Certified Coding Specialist
- Certified Coding Specialist-Physician-based
- Certified Documentation Improvement Practitioner
- Registered Health Information Administrator
- Registered Health Information Technician
- Registered Nurse
- Registered Respiratory Therapist
Company Description
Pride Health offers eligible employee’s comprehensive healthcare coverage (medical, dental, and vision plans), supplemental coverage (accident insurance, critical illness insurance and hospital indemnity), 401(k)-retirement savings, life & disability insurance, an employee assistance program, legal support, auto, home insurance, pet insurance, and employee discounts with preferred vendors.