Retrospective CDI Specialist

Retrospective CDI Specialist (Contract Remote)

We are seeking experienced CDI professionals to support a high-impact Vizient improvement initiative focused on retrospective DRG validation and clinical documentation integrity.

Key Responsibilities:

• Perform retrospective CDI reviews with a focus on DRG validation
• Review accounts via work queues and validate documentation for coding accuracy and compliance
• Draft, edit, and follow up on physician queries using compliant guidelines (AHIMA/ACDIS)
• Support clinical validation denials and appeals
• Analyze mortality cases, SOI/ROM, and outlier trends (Vizient metrics)
• Collaborate with leadership on reporting and project outcomes
• Meet productivity goals ( 8-10 reviews/day)

Requirements:

• Active CDI certification (CDIP, CCDS, etc.)
• Active RN license (BSN required, compact license preferred)
• 3-5 years CDI experience + 1-2 years Second Level Review (SLR) experience
• Strong background in clinical validation, denials, and compliant querying
• Experience in large acute care settings (500+ beds, ICU, Level 1 Trauma/Teaching preferred)
• Familiarity with Vizient metrics and mortality reviews
• Prior contract CDI experience preferred

Systems:

• EPIC
• 3M 360 CAC

Position Details:

• Contract-only (6+ months, likely extension)
• 100% Remote
• Schedule: Monday-Friday (flex start between 6am-9am CST)
• Training: 1 week

Compensation:

• Pay Rate: $40/hr - $56.50/hr

Interview Process:

Join a collaborative team focused on driving documentation accuracy, compliance, and quality outcomes across a large healthcare system.