- Remote, United States
- Remote
- Full-time · Mid
The Clinical Documentation Integrity (CDI) Analyst is an exempt professional role responsible for independently applying advanced clinical knowledge, critical thinking, analytical skills, and documentation integrity expertise to improve the accuracy, completeness, specificity, and clinical validity of patient documentation.
Responsibilities
- Perform comprehensive concurrent reviews of inpatient medical records to identify opportunities to improve documentation completeness, specificity, accuracy, and clinical validity.
- Evaluate complex oncology, surgical oncology, hematologic malignancy, cellular therapy, transplant, critical care, and tertiary/quaternary care encounters to ensure accurate representation of patient acuity and treatment complexity.
- Develop, issue, and manage compliant physician documentation queries in accordance with AHIMA, ACDIS, CMS, and organizational standards.
- Partner with physicians, advanced practice providers, nursing, case management, quality teams, physician advisors, and coding professionals to strengthen documentation integrity and clinical representation.
- Provide education on documentation requirements, clinical validation principles, SOI/ROM capture, mortality risk adjustment, quality reporting, and oncology-specific documentation.