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Clinical Documentation Integrity Specialist (CDI Specialist)

RSD Human Resource Management Consultancy
Dubai, UAE
Full Time
Entry
3 weeks ago
Clinical Documentation ImprovementICD 10 CM/PCSDRG AssignmentMedical CodingRegulatory ComplianceCommunication
Free

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Clinical Documentation ImprovementICD 10 CM/PCSDRG Assignment
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Job Summary

  • The Clinical Documentation Improvement (CDI) Specialist is responsible for reviewing clinical documentation to ensure accuracy, completeness, and compliance with regulatory and coding requirements.
  • The role focuses on improving the quality of physician documentation to support accurate coding, reimbursement, severity of illness (SOI), and risk of mortality (ROM).

Key Responsibilities

  • Review inpatient and/or outpatient medical records to identify documentation gaps and opportunities for improvement.
  • Collaborate with physicians, coders, and clinical staff to clarify diagnoses, procedures, and clinical indicators.
  • Initiate and follow up on physician queries in accordance with compliant query guidelines.
  • Ensure documentation supports accurate ICD 10 CM/PCS coding, DRG assignment, SOI, ROM, and quality metrics.
  • Educate providers on documentation best practices and regulatory requirements.
  • Track and report CDI metrics such as query response rates, CC/MCC capture, and case mix index (CMI).
  • Ensure compliance with CMS, AHIMA, ACDIS, and organizational policies.
  • Participate in audits, reviews, and performance improvement initiatives.

Required Qualifications

  • Registered Nurse (RN), or USRN with a strong clinical background.
  • 1+ years of experience in CDI with medical coding, or clinical documentation review.
  • Strong knowledge of ICD 10 CM/PCS, DRGs, CC/MCCs, and clinical indicators.
  • Familiarity with quality measures, SOI/ROM, and reimbursement methodologies.
  • Excellent written and verbal communication skills.

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