Medix · 21 hours ago
CDI RN
United States
Full-time
Remote
Mid, Senior Level
5+ years expMedix is a company dedicated to providing workforce solutions across multiple industries. They are seeking a Clinical Documentation Improvement Registered Nurse who will review inpatient medical records to ensure accurate clinical documentation and collaborate with various teams to support compliance and data integrity.
MedicalPharmaceuticalWholesale
Responsibilities
Conduct concurrent and/or retrospective reviews of inpatient medical records to identify documentation gaps, inconsistencies, or opportunities for clarification
Initiate and manage compliant physician queries to improve specificity and accuracy of diagnoses and procedures
Ensure documentation supports appropriate DRG assignment, severity of illness (SOI), risk of mortality (ROM), and quality metrics
Collaborate with coding, case management, utilization review, and quality teams to promote accurate clinical representation
Educate providers on documentation best practices, coding guidelines, and regulatory requirements
Apply current CMS, ICD-10-CM/PCS, MS-DRG, and payer-specific guidelines in daily review activities
Maintain productivity and quality benchmarks while working independently in a remote environment
Participate in CDI team meetings, audits, and ongoing performance improvement initiatives
Qualification
Required
Active, unrestricted Registered Nurse (RN) license
Minimum of 3-5 years of recent acute care clinical experience (ICU, ED, or medical-surgical preferred)
At least 2 years of Clinical Documentation Improvement experience required
Strong knowledge of pathophysiology, disease processes, and clinical indicators
Solid understanding of ICD-10 coding principles, DRG methodology, and regulatory guidelines
Excellent written and verbal communication skills, particularly for physician engagement
Ability to work independently, manage time effectively, and meet productivity standards in a remote setting
Preferred
CCDS (Certified Clinical Documentation Specialist) or CDIP certification
Experience with CDI software platforms and electronic health records
Prior remote CDI work experience
Company
Medix
At Medix Distribution, we have designed solutions to meet the medical needs for the betterment of society as a whole.
11-50 employees
Funding
Current Stage
Early StageCompany data provided by crunchbase