CDI Specialist – Second Level Reviewer
Remote – Full-time Position
The CDI Specialist – Second Level Reviewer is responsible for performing advanced secondary reviews of clinical documentation, coding opportunities, and provider queries to ensure documentation accuracy, compliance, and appropriate reimbursement. This role serves as a quality and escalation resource, supporting accurate capture of severity of illness, risk of mortality, and overall clinical integrity.
Key Responsibilities
- Perform second-level reviews of inpatient medical records for documentation accuracy, coding opportunities, and query appropriateness
- Validate clinical indicators and supporting documentation for diagnoses, procedures, severity of illness, and risk adjustment opportunities
- Review and revise provider queries to ensure compliance with AHIMA, ACDIS, ICD-10, and AHA Coding Clinic guidelines
- Collaborate with CDI specialists, coding teams, physicians, and leadership to resolve complex documentation and coding issues
- Identify missed opportunities and provide feedback, education, and guidance to CDI staff regarding query formulation and documentation improvement strategies
- Escalate complex or high-risk cases as appropriate while ensuring documentation accurately reflects the patient’s clinical picture
- Support quality assurance initiatives through auditing and review of CDI work products
- Maintain detailed documentation within internal tracking and reporting systems
- Meet established productivity, accuracy, and quality standards
- Participate in ongoing education related to CDI, coding, compliance, and regulatory updates
- Perform additional duties as assigned
Qualifications
Education:
One of the following preferred:
- Associate or Bachelor’s Degree in Nursing
- Foreign Medical Graduate
- Bachelor’s Degree in Health Information Management
- Other related healthcare degree considered
Experience:
- Minimum 5 years of clinical healthcare experience
- Minimum 3 years of current inpatient CDI experience
- Prior experience performing CDI audits, quality reviews, or second-level reviews preferred
Credentials:
One or more of the following preferred:
- RN, BSN, CCDS, CDIP, CCS, RHIA, MD, or DO
Knowledge, Skills & Abilities
- Advanced knowledge of inpatient CDI practices, compliant query standards, and ICD-10 coding guidelines
- Strong analytical, auditing, and critical thinking skills
- Excellent written and verbal communication skills
- Ability to review complex clinical cases and provide actionable feedback
- Proficient with EMR systems, CDI software, and Microsoft Office applications
- Ability to work independently in a remote environment while managing multiple priorities and deadlines
- Strong organizational skills and ability to maintain collaborative professional relationships
- This is a remote position requiring prolonged computer and phone use in a professional office setting. Minimal to no travel required.
Perks of the Job
Competitive Salary
We offer competitive compensation packages to reward your expertise, experience, and contributions while supporting your long-term career growth.
Benefits
Enjoy comprehensive health, dental, and vision benefits that help support you and your family both professionally and personally.
401k
Plan confidently for your future with our 401(k) retirement savings program.
PTO & Holidays
Maintain a healthy work-life balance with generous paid time off and company-recognized holidays throughout the year.
Team Events & Culture
Join a collaborative team culture that values connection, recognition, and engaging events that bring employees together.
Flexible Scheduling
We understand the importance of flexibility and offer scheduling options that support both your career and personal commitments.
Perks
Interested? Let’s Talk!
Join Medovent Solutions and build a meaningful career where your expertise makes a difference in healthcare every day. We look forward to getting to know you!
