About This Role
This fully remote, contract-to-hire engagement supports a large, multi-state health system by ensuring medical records accurately reflect patient severity, risk, and complexity of care. The role suits an experienced CDI Specialist or inpatient coding auditor with relevant certification.
Responsibilities
- Complete initial record reviews within 24–48 hours of admission, identifying the principal diagnosis, secondary diagnoses, and procedures for accurate DRG assignment
- Conduct follow-up reviews every 2–3 days to support the working DRG
- Write compliant provider queries for missing, unclear, or conflicting documentation, following AHIMA/ACDIS guidelines
- Follow up daily on open queries to keep provider responses on track
- Review final coded DRGs and complete the DRG reconciliation process
- Partner with HIM coding, quality, case management, and patient financial services teams
- Educate providers and care teams on documentation best practices
- Stay current on Official Coding Guidelines, AHA Coding Clinic, and CMS directives
Requirements
- 5+ years of acute care inpatient CDI experience, or 5+ years as an inpatient coding auditor, in a large hospital or health system
- CCDS or CDIP certification (candidates without one may be considered if they complete it within their first year)
- Experience with PSI exclusions and other quality reviews
- Ability to write compliant provider queries
- Strong knowledge of disease processes, anatomy and physiology, pharmacology, and ICD-10-CM/PCS
- Ability to apply Official Coding Guidelines and AHA Coding Clinic advice
- Experience with EMR and encoder systems such as Epic, Cerner, Meditech, Optum eCAC, and Solventum
- Ability to work independently in a remote setting and resolve basic technical issues
- Strong communication skills, including presenting to groups
- Background check, drug screen, and vaccinations are required
Nice to have:
- CCS, RHIT, or RHIA certification
- Computer-Assisted Coding (CAC) experience
- Bachelor’s degree in HIM, Nursing, or a related field
Benefits
- Fully remote, with equipment provided by Medasource
- 4–8 week training period to get you up to speed
- Long-term contract with strong potential for conversion to a permanent role
Important Details
- Start date: 10/26, 11/2, or 11/9
- Contract: 6–12 months, with strong potential for conversion
- Schedule: Full-time 40 hours each week
- Openings: 12
