Inpatient Clinical Documentation Integrity Specialist
Connext
Connext Global Solutions is a dedicated team of business process outsourcing experts and innovators, with experience in supporting world-class companies in Title and Escrow, Healthcare, Produce Distribution, Retail and Fashion, Design Consulting, and Finance.
We are currently looking for an Inpatient CDI Specialist who will be working with Connext's Client in the United States of America.
What's in it for you?
- Competitive compensation
- Perfect Attendance Bonus
- Life insurance
- HMO Insurance
- Great company culture
- Annual Merit Increase
- 25% Night Differential
- Signing bonus Php 10,000
- Work from home - company provided equipment
What is the job?
The Inpatient CDI Specialist is responsible in reviewing inpatient medical records to ensure clinical documentation accurately reflects the patient's diagnoses, treatment, severity, and risk of mortality. The role identifies documentation gaps, develops compliant physician queries, and collaborates with clinical and coding teams to support accurate coding, quality reporting, and reimbursement.
• Review inpatient medical records for accuracy, completeness, and clinical consistency.
• Identify missing, conflicting, or unclear clinical documentation.
• Develop compliant physician queries to clarify clinical documentation.
• Evaluate diagnoses, procedures, severity of illness (SOI), risk of mortality (ROM), complications, and comorbidities.
• Support accurate ICD-10-CM/PCS coding and DRG assignment through clinically supported documentation.
• Collaborate with physicians, coders, and clinical teams to resolve documentation questions.
• Monitor CDI quality, productivity, and query performance metrics.
• Participate in audits and quality improvement activities.
• Provide guidance and mentoring to other CDI specialists as needed.
• Follow applicable AHIMA, ACDIS, CMS, and organizational CDI guidelines.
Required Qualifications:
• Active Philippine Registered Nurse (PHRN) license.
• Minimum of four (4) years of bedside nursing experience or at least three (3) years of experience in ICU, ED, or OR exposure, with awareness of utilization review (UR) or CDI.
• Experience using electronic health record (EHR) systems to review clinical documentation.
• Experience developing physician queries and resolving clinical documentation gaps.
• Demonstrates strong knowledge of ICD-10-CM/PCS, DRG, SOI, ROM, CCs, and MCCs.
• Demonstrates strong clinical judgment, analytical skills, and attention to detail.
• Must have stable employment history.
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