Day-to-Day Responsibilities:
Review clinical documentation to ensure accuracy, completeness, and regulatory complianceWork directly with physicians and clinical staff to clarify documentationPerform Primary Diagnosis (PDX) shifting when appropriate to accurately reflect patient conditions and severityIdentify opportunities for documentation improvement and reimbursement optimizationCollaborate with coding and revenue cycle teamsSupport quality metrics and compliance initiativesMust-Haves3 to 5+ years of Clinical Documentation Improvement (CDI) experienceActive Registered NurseStrong understanding of PDX (Primary Diagnosis) shiftingExperience reviewing clinical documentation for accuracy and reimbursement optimizationKnowledge of healthcare compliance and regulatory requirementsStrong computer skills and ability to work within EMR/documentation systemsExcellent attention to detail and communication skills
