UASI

Clinical Documentation Improvement Specialist

United States full-time Mid Salary not listed
full-time Mid level Technology & IT Curated
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About the role

Join a Team That’s Elevating CDI Excellence!
At UASI, we're driven by a mission to improve the quality and accuracy of clinical documentation through expert CDI consulting. As we continue to grow our service offerings, we’re looking for experienced and motivated Clinical Documentation Improvement (CDI) professionals to join our dedicated team in a fully remote capacity.
This role is critical to supporting the accuracy of coded data, compliance with regulatory requirements, and improving the quality of clinical outcomes reporting. The ideal candidate will have a clinical background, excellent analytical skills, and a passion for ensuring accurate and compliant clinical documentation.
Key Responsibilities

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

Collaborate with physicians, nurses, and coding professionals to ensure appropriate clinical documentation.

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

Analyze medical records to ensure documentation supports quality care and appropriate reimbursement.

Formulate compliant, clinically sound physician queries.

Qualifications:

Experience: 2 years of clinical documentation improvement (CDI) experience.

Certification: Registered Nurse (RN)

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

Excellent communication, critical thinking, and organizational skills.

Comfortable using MS Office, email, VPNs, virtual machines, two-factor authentication, and video conferencing tools (MS Teams, Zoom, etc.).

Experience using 3M and Epic preferred but not required.

Why UASI?
We believe that investing in our people is key to our success. In return for your talents, we offer a full benefits package, PTO and top pay! Additional benefits include:

Collaborative, mission-driven team environment.

Opportunities for continuous learning, education and professional growth.

Leadership that values your expertise and input

Ready to make a difference and grow your career? We would love to hear from you!
Originally posted on Himalayas

Interview prep

Walk in with sharper answers.

Use this as a quick practice sheet before you speak with the employer.

Mid
Technology & IT Remote Collaboration Writing Clinical Documentation Improvement Mid level

Likely questions

  1. Tell us about work you have done that is close to the Clinical Documentation Improvement Specialist role.
  2. How would you approach your first 30 days at UASI?
  3. Which of Remote Collaboration, Writing and Clinical have you used recently, and what did it help you achieve?
  4. Describe a time you solved a problem without waiting to be told exactly what to do.
  5. How do you handle busy days, changing priorities, or pressure at work?

Prepare before the call

  • A recent example that proves your experience with Remote Collaboration, Writing and Clinical.
  • One short story with a problem, your action, and the result.
  • Two examples that show the strengths listed on your CV.
  • A clear reason why this role and company interest you.
  • Your availability, preferred work style, and salary expectations.

Ask them

  • What would success look like in the first 90 days?
  • What are the main problems this hire should help solve?
  • How does the team give feedback and measure good work?
  • What does a normal working week look like for this role?
Practice line

I am interested in the Clinical Documentation Improvement Specialist role because I can bring practical experience in Remote Collaboration, Writing and Clinical, learn the team quickly, and contribute to the outcomes UASI needs from this hire.

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