Clinical Documentation Integrity Specialist

🔥 1 hour ago

🇵🇭 Philippines – Remote

⏰ Full Time

🟡 Mid-level

🟠 Senior

🏥📝 Medical Writer

👻 Ghost score 10%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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Med-Metrix

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

Founded 2010

🏥 Healthcare

☁️ SaaS

🔥 Funding within the last year

💰 Private equity on 2025-09

Healthcare • SaaS

Med-Metrix is a company for which only a minimal web presence was provided (the page only displayed "Loading application... Your web browser must have JavaScript enabled... "). No product, market, or mission details were included in the supplied text. Based on the company name alone, it plausibly focuses on medical or clinical metrics, analytics, or healthcare software, but that is speculative and not confirmed by the provided information. Further public details would be required to be more specific.

📋 Description

• Analyze medical records to identify incomplete, inconsistent, or inaccurate documentation related to diagnoses, treatments, procedures, severity of illness, and risk of mortality • Perform concurrent chart reviews to ensure clinical documentation accurately reflects the patient’s condition, complexity of care, and services rendered to support appropriate coding and reimbursement • Facilitate clarification and modification of clinical documentation through concurrent interaction with physicians and members of the healthcare team to ensure accurate representation of patient severity and DRG assignment • Analyze coding and documentation data to identify trends, variations, and opportunities for documentation improvement, and communicate findings to management • Utilize data analytics, DRG reports, and tracking tools to monitor documentation performance, identify gaps, and support performance improvement initiatives • Collaborate with physicians, nurses, coders, and other healthcare professionals to clarify documentation and obtain additional information necessary for accurate and compliant coding • Support coding teams by ensuring documentation supports code assignment and complies with coding guidelines and regulatory requirements • Communicate with coding staff and healthcare providers to resolve coding-related issues and promote documentation accuracy and consistency • Conduct training and educational sessions for providers and staff on documentation best practices, coding guidelines, compliance requirements, and quality initiatives • Demonstrate knowledge of quality measure initiatives, including Value-Based Purchasing, Pay-for-Performance, readmission reduction programs, and related regulatory requirements • Ensure clinical documentation aligns with organizational policies, coding standards, regulatory requirements, and payer guidelines • Conduct routine audits and reviews of clinical documentation to evaluate quality, accuracy, and compliance, and identify opportunities for improvement • Participate in quality improvement initiatives focused on enhancing clinical documentation integrity, coding accuracy, and operational performance • Perform other duties as assigned • Use, protect, and disclose patients’ protected health information only in accordance with HIPAA standards • Comply with Information Security and HIPAA policies and procedures • Limit viewing of PHI to the minimum necessary to perform assigned duties

🎯 Requirements

• Minimum of 3 years of experience in clinical documentation improvement role preferred • Minimum of 3 years nursing experience in adult acute care in med/surg, critical care, emergency, or PACU required • Active RN, MD, DO, NP, or PA license required • Coding credential (CCS, CPC, CCS-P) is a plus • Current state Registered Nurse license highly preferred • Fundamental knowledge of ICD-10 Official Coding Guidelines and DRG Reimbursement Systems • Proficient in CDI tools such as encoder or CDI workflow and reporting tool • Proficiency in Microsoft Office Suite • Strong interpersonal skills, ability to communicate well at all levels of the organization • Strong problem solving and creative skills and the ability to exercise sound judgment and make decisions based on accurate and timely analyses • High level of integrity and dependability with a strong sense of urgency and results oriented • Excellent written and verbal communication skills required • Must possess a smart-phone or electronic device capable of downloading applications, for multifactor authentication and security purposes • Must be able to follow directions, collaborate with others, and handle stress

🏖️ Benefits

• Competitive benefits upon hire • Ongoing professional development • Fulltime Permanent Remote • Fixed Weekends Off • Day 1 HMO with 2 of your dependents covered for FREE • Medical Cash Allowance • Rice Allowance • Clothing Allowance • Free Lunch Daily • Paid Time Off • Training and Staff Development • Employee Engagement Activities • Opportunities for Internal Mobility