RN Clinical Documentation Consultant

A company is looking for a CDI Consultant to support clinical documentation improvement in a remote capacity.

Key Responsibilities

Review and evaluate medical record documentation for completeness, accuracy, and compliance

Collaborate with healthcare professionals to ensure appropriate clinical documentation

Identify opportunities for documentation improvement to support coding accuracy and clinical outcomes

Qualifications

2 years of clinical documentation improvement (CDI) experience

Registered Nurse (RN) certification

Knowledge of ICD-10-CM, MS-DRGs, coding guidelines, and compliance standards

Experience using 3M and Epic preferred but not required