Clinical Documentation Integrity (CDI) Specialist-Remote Full-time

Location: Remote

Clinical Documentation Integrity (CDI) Specialist
Remote | Full-Time | United States

• Perform concurrent inpatient documentation reviews to identify opportunities for improved documentation specificity, clinical validation, and coding accuracy.
• Conduct compliant physician queries following AHIMA/ACDIS guidance to clarify conflicting, incomplete, or ambiguous documentation.
• Support accurate ICD-10-CM/PCS coding, MS-DRG/APR-DRG assignment, POA indicators, CC/MCC capture, SOI/ROM, PSIs, HACs, and quality metrics.
• Perform clinical validation reviews for high-impact diagnoses including sepsis, acute respiratory failure, AKI, encephalopathy, malnutrition, and other complex conditions.
• Collaborate with coding, CDI, quality, and physician teams to improve documentation quality and reduce denials.
• Provide physician and CDI education based on documentation trends and audit findings.
• Monitor productivity, quality, and compliance standards while participating in internal audits and continuous improvement initiatives.
• Maintain current knowledge of CMS regulations, ICD-10-CM/PCS, Coding Clinic, AHIMA, and ACDIS guidance.

• Must have Active RN license or graduate of an accredited medical program (MD, DO, MBBS, NP, PA, or equivalent clinical background).
• CCDS or CDIP certification required.
• Minimum 5 years of concurrent inpatient CDI experience in an acute care hospital.
• Strong knowledge of MS and APR-DRG reimbursement, ICD-10-CM/PCS, clinical validation, and compliant query practices.
• Experience with Epic, Cerner, Solventum 360, Iodine, SmarterDx, or similar CDI platforms.
• Excellent clinical judgment, communication, presentation, and interdisciplinary collaboration skills.

• MS-DRGs, APR-DRGs, SOI/ROM, POA, PSIs, HACs, Vizient, Elixhauser, CMS IPPS, AHA Coding Clinic, and AHIMA/ACDIS query guidance.

• Meet established productivity and quality benchmarks.
• Improve documentation accuracy and physician engagement.
• Support denial prevention and compliant reimbursement.
• Contribute to continuous education and process improvement.

Why Join Vee Healthtek
Join a collaborative team supporting leading U.S. health systems. Vee Healthtek offers opportunities to work on complex CDI programs, advance your professional development, and make measurable impact on patient care quality, documentation integrity, and organizational performance.

Equal Opportunity
Vee Healthtek is an Equal Opportunity Employer and is committed to creating an inclusive workplace. Qualified applicants will be considered without regard to race, color, religion, sex, national origin, age, disability, veteran status, or any other protected status.

This position is eligible for medical/dental/vision benefits first of the month following date of hire. 401k benefits plus paid holidays and PTO/personal time.