Clinical Documentation Improvement, CDI Specialist

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🕒 February 14

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Exceptional Healthcare Inc.

WebsiteLinkedInAll Job Openings

201 - 500 employees

Founded 2016

Healthcare • Emergency Services • Inpatient Care

Exceptional Healthcare Inc. is a premier healthcare provider focused on delivering comprehensive medical services through its network of community hospitals across multiple states. With a commitment to quality care, it offers 24/7 emergency and inpatient services, advanced cardiac care, and robust onsite labs and radiology capabilities. Exceptional Healthcare is dedicated to serving non-metropolitan areas with state-of-the-art healthcare technologies and a team of highly skilled medical professionals, ensuring that patients receive timely and compassionate treatment for various medical conditions.

📋 Description

• Review inpatient medical records to identify documentation gaps and improvement opportunities • Craft physician queries that clarify diagnoses and procedures • Educate providers on documentation best practices and regulatory requirements • Monitor key metrics including CMI trends and query response rates • Support denial management with clinical justifications for appealed claims • Collaborate with coding teams for accurate DRG assignment • Develop documentation policies aligned with CIHQ accreditation standards

🎯 Requirements

• Associate or bachelor's degree in Nursing, HIM, or a related healthcare field • 3+ years of clinical experience in acute care (ER, ICU, med-surg, or case management preferred) • 2+ years of CDI experience with concurrent review and physician querying • Active, unencumbered RN license (if nursing background) • RN, RHIA, RHIT, CCS, CCDS, CDIP, or related certification preferred • Strong knowledge of CMS, AHIMA, and ACDIS standards

🏖️ Benefits

• Clinical documentation improvement opportunities • Collaboration with physicians and coding teams • Education and coaching on best practices