Clinical Documentation Improvement (CDI) Specialist
Full-time
RSD Human Resource Management Consultancy
Job Summary
The Clinical Documentation Improvement (CDI) Specialist is responsible for reviewing clinical documentation to ensure accuracy, completeness, and compliance with regulatory and coding requirements. The role focuses on improving the quality of physician documentation to support accurate coding, reimbursement, severity of illness (SOI), and risk of mortality (ROM).
Key Responsibilities
- Review inpatient and/or outpatient medical records to identify documentation gaps and opportunities for improvement
- Collaborate with physicians, coders, and clinical staff to clarify diagnoses, procedures, and clinical indicators
- Initiate and follow up on physician queries in accordance with compliant query guidelines
- Ensure documentation supports accurate ICD‑10‑CM/PCS coding, DRG assignment, SOI, ROM, and quality metrics
- Educate providers on documentation best practices and regulatory requirements
- Track and report CDI metrics such as query response rates, CC/MCC capture, and case mix index (CMI)
- Ensure compliance with CMS, AHIMA, ACDIS, and organizational policies
- Participate in audits, reviews, and performance improvement initiatives
Required Qualifications
- Registered Nurse (RN), or USRN with a strong clinical background
- 1+ years of experience in CDI with medical coding, or clinical documentation review
- Strong knowledge of ICD‑10‑CM/PCS, DRGs, CC/MCCs, and clinical indicators
- Familiarity with quality measures, SOI/ROM, and reimbursement methodologies
- Excellent written and verbal communication skills
Vacancy posted 18 hours ago
Similar jobs that could be interesting for youBased on the Clinical Documentation Improvement (CDI) Specialist in Pasig vacancy
- ...90,000 About the Job: Join our client team as a Clinical Documentation Improvement Specialist, where you will apply your expertise in medical terminology... ...Minimum of 2 years as an RN with concurrent inpatient CDI experience. CCDS or CDIP certification....
- ...HIGH-PAY OPPORTUNITY FOR CDI SPECIALISTS! EARN UP TO ₱115,000 PACKAGE! CLINICAL + CODING EXPERIENCE? APPLY NOW! Position: CDI Specialist (Clinical Documentation Improvement) Locations: Ortigas | Alabang | Clark, Pampanga Work Setup: Onsite Shift: Night Shift...
- ...Ingenious Solutions is looking for CDI Specialists to be part of our team. Apply now and join our growing... ...CCS or CIC certification ~ Must have bedside clinical experience (RN) ~1-2 years experience in Clinical Documentation ~1-2 years IP coding experience ~...
- ...Responsible for creating and maintaining accurate documentation of processes and procedures. Collaborate with various departments to gather information and ensure consistency. Edit and proofread documents for clarity and quality. Organize and archive documents...
- ...Responsibilities: Review and improve existing procurement processes to increase efficiency and strengthen controls Identify process gaps and recommend solutions to address operational issues Develop and maintain procurement policies, procedures, and guidelines...
- ...Prepare, review, and update project documentation to ensure accuracy and completeness. Assist in maintaining data records, including... ...team members. Analyze existing documentation and suggest improvements to enhance clarity and usability. Utilize MS Office tools...
- ...Job Summary: Leads and oversees the documentation team responsible for processing deployment requirements of skilled workers in compliance... ...systems ~ Strong quality control, audit, and process improvement skills ~ Able to coordinate with foreign principals, government...
- ...and regulatory requirements, i.e., Good Clinical Practice (GCP) and International Conference... ...copies/originals (as required) site documents are available for filing in the Trial Master... ...innovative medical treatments to help improve patient outcomes and population health...
- ...role is responsible in managing, organizingand maintaining all documentation related to recruitment lifecycle. Key Responsibilities... ...arrangements) to collect necessary documentation. Process Improvement: Assist in developing and implementing documentation policies...
- ...Responsibilities Manage and organize all HR and security personnel documents (201 files, contracts, licenses, clearances, training records).... ...) and proactively notify concerned personnel. Implement and improve document control systems to enhance efficiency and reduce...
- ...specialized healthcare solutions provider dedicated to enhancing clinical decision-making and improving operational efficiency within modern healthcare systems... ..., review, and submission of regulatory and safety documents such as PSURs, annual reports, CCDS, and other...
- ...description: In a Quality Management System (QMS), the DCC (Document Control Center) is responsible for managing all documents, ensuring... ...documents are readily available and accurate. System Improvement: Advise employees on the document control system and work to...
- ...Qualifications Background in health; relevant management or clinical experience is an advantage Preferably a graduate of any medical... ...reports and manage clinic inventory Collaborate with doctors and management to improve clinic efficiency and performance...
- ...Copy, scan and store documents Check for accuracy and edit files, like contracts Review and update technical documents (e.g. manuals and workflows) Distribute project-related copies to internal teams File documents in physical and digital records Create templates...
- ...Manage, organize, and maintain company documents while ensuring their accuracy, quality, and integrity. Adhere to the company's document lifecycle procedures, and archive inactive records in accordance with the records retention schedule. Help develop and maintain...
- ...DUTIES AND RESPONSIBILITIES: Maintains organized filing systems, both physical and electronic, for easy retrieval of documents. Responsible for the safekeeping of all original collateral documents. Provides copies and relevant information of loan documents to...
- ...Job Summary We are seeking a detail-oriented and organized Document Controller with construction industry experience to manage, maintain, and control project documentation throughout the project lifecycle. The successful candidate will ensure that all drawings, specifications...
- ...Key Responsibilities: Control Incoming and Outgoing Documents needed for our client Validation Compilation, Printing, Scanning, Uploading/Downloading, and Monitoring of documents Submission of the customer documents to stakeholders Checking Documents and filling...
- ...Job Summary The Document Controller is responsible for managing, controlling, organizing, and maintaining all project-related documents to ensure that accurate and up-to-date information is available to project teams, clients, consultants, and subcontractors. The position...
- ...Ortigas, Pasig City Responsibilities Knowledgeable in basic computer applications Ensure proper labeling and indexing of all documents for easy retrieval and reference. Establish and maintain document control processes to ensure compliance with company standards...
- ...Site: PASAY -Print and distribute site documents as needed; -Scan and upload documents according to company procedure; -Collect and register all technical documents such as drawings and blueprints in the company’s system; -Review and update documents for maintain...
- ...A Document Controller in the telecommunications industry is responsible for managing the flow of documents within the organization to ensure proper handling, version control, and compliance with company regulations. This role ensures that all project documentation is...
- ...Document Controller – Poultry Processing Plant Qualifications Bachelor’s Degree in Business Administration, Office Administration, Industrial Engineering, Food Technology, or related field. Preferably 1–2 years’ experience as a Document Controller or similar...
- ...Manages and organizes all company documents, ensuring they are accurate, up-to-date, and accessible while maintaining confidentiality and compliance with regulations . Key responsibilities include storing, tracking, and distributing documents, creating and implementing...
- ...Job Overview Associate Clinical Leads are an integral part of clinical trial delivery, working alongside clinical teams to improve patients’ lives by bringing new drugs to the market faster. The Associate Clinical Lead is a member of the core project team responsible...
- maintaining the integrity, version control, and security of both electronic and physical documents , particularly in regulated industries like manufacturing, construction, and healthcare
- ...The Document Controller is responsible for managing, organizing, and maintaining all controlled documents. This role ensures compliance with company standards, regulatory requirements, and food safety systems such as GMP, HACCP, and ISO. The position supports Production...
- ...permitting process ~ Communicate and liaise with relevant government and regulatory bodies ~ Prepare and submit all necessary documentation for permits and licenses ~ Stay up-to-date with changes to licensing and permitting requirements and regulations ~ Assist in...
- ...Responsible for managing, controlling, and maintaining all project documentation, including highly technical drawings and specifications. This role ensures accuracy, version control, and compliance with project, client, and regulatory standards. Key Responsibilities...
- ...Qualifications: · At least with background in Health ; experience in a medical or clinical setting is an advantage · Preferably a Nursing graduate or graduate of any Medical-related course · Excellent verbal and written communication skills in English · With...
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Clinical Documentation Improvement (CDI) Specialist. Be the first to apply!
