Remote Position
Clinical Documentation Consultant (CDI) DRG Validation / Auditor
🌍 Remote · United States
💼 Full-time
Clinical Documentation Consultant (CDI) DRG Validation / Auditor Immediate need for a talented Clinical Documentation Consultant (CDI) DRG Validation / Auditor. This is a 06 months contract opportunity with long-term potential and is located in US(Remote). Key Responsibilities:
- Perform concurrent and retrospective inpatient chart reviews
- Review provider documentation for completeness and accuracy
- Assign and validate MS-DRGs
- Develop compliant physician queries
- Improve Severity of Illness (SOI) and Risk of Mortality (ROM) capture
- Collaborate with physicians, coders, CDI, HIM, Case Management and Quality teams
- Identify CC/MCC opportunities and documentation gaps
- Support denial prevention and clinical validation initiatives
- Educate providers regarding documentation best practices
- Maintain productivity and quality standards while working remotely.
Key Requirements and Technology Experience:
- RN, BSN, MSN, MD or Foreign Medical Graduate
- Minimum 4 years of clinical nursing or physician experience
- Minimum 2 years of inpatient CDI experience
- Experience with DRG assignment
- Experience performing physician queries
- Knowledge of ICD-10-CM, MS-DRGs, SOI/ROM
- BSN, MSN, MD, or higher clinical degree.
- CCDS, CDIP, CCS, CPC, RHIA, or RHIT certification.
- Experience with 3M CDI and coding applications.
- ICU, Critical Care, Emergency Department, Hospitalist, Case Management, Utilization Review, or CDI experience.