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Clinical Documentation Integrity Specialist

Job not on LinkedIn

November 13

🇵🇭 Philippines – Remote

💵 ₱30k - ₱45k / month

⏰ Full Time

🟡 Mid-level

đźź  Senior

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Logo of Neolytix

Neolytix

Optimizing Healthcare Organizations through Revenue & Cost TransformationNeolytix is a Management Service Organization (MSO) serving independent healthcare providers.Neolytix has been working with healthcare practices for the last 11 years and providing a helping hand for busy medical practitioners. Our services have helped increase monthly collections, create efficient processes for office administration, improved patient experience and free up physician time for providing better care.We provide shared services solutions for Medical Offices supporting Revenue Cycle Management, Credentialing, Virtual Assistants, IT Support, Practice Marketing with guaranteed impact on the overall bottom line. That means better service for a lower cost.#MedicalBilling #RPM #MSO #medicalbilling #remotepatientmonitoring #valuebasedcare #revenuecyclemanagement #Healthcareproviders #digitalhealth

51 - 200 employees

đź“‹ Description

• Develop and implement CDI standards, policies, and query guidelines aligned with AHIMA and ACDIS best practices • Perform documentation reviews and audits to identify improvement opportunities and clinical validation gaps • Partner with providers and coding teams to ensure proper code assignment, DRG accuracy, and risk adjustment capture • Conduct educational sessions for coders and providers on documentation best practices • Support or lead the setup of a scalable offshore CDI operations team, including workflow design, QA, and KPI tracking • Collaborate with clients on CDI performance reports and provide actionable insights • Stay up to date with CMS, HCC, and payer documentation requirements

🎯 Requirements

• 3+ years of experience in Clinical Documentation Integrity, Coding, or Clinical Validation • Strong understanding of ICD-10-CM/PCS, CPT/HCPCS, HCC, and DRG methodologies • Experience in both inpatient and outpatient CDI environments • Hands-on experience with query writing, provider education, and audit processes • Certifications preferred: AHIMA: CDIP ACDIS: CCDS, CCDS-O • Excellent written and verbal communication skills • Prior experience in healthcare BPO/MSO or offshore CDI operations is a plus • Familiarity with EHR/Encoder tools (3M, Optum, Iodine, Epic, etc.) preferred

🏖️ Benefits

• Competitive base salary + performance bonus • HMO • Paid time off • Training • CDI certification support

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