[Remote] Analyst Clinical Documentation Integrity (CDI)
Note: The job is a remote job and is open to candidates in USA. Envision is a leading national medical group focused on delivering high-quality care to patients. The Analyst, Clinical Documentation Integrity (CDI) is responsible for reviewing patient medical records to ensure clinical documentation is accurate, complete, and compliant, bridging the gap between clinical care and coding.ResponsibilitiesReviews medical records concurrently and/or retroactively to ensure documentation is complete, accurate, clinically valid, and compliant with regulatory and organizational standardsCollaborates with multiple stakeholders (clinical leadership, revenue cycle, quality team) to create a unified approach for documentation improvementSupports documentation improvement initiatives for new sites, underperforming locations, or special projects. Conducts patient record reviews for sites with documentation opportunities and/or new locations to identify documentation gaps or inconsistenciesCollaborates with providers, coders, Clinical leadership, Revenue Cycle, Compliance, Quality and Audit teams to improve documentation accuracy and alignmentCoordinates and participates in site reviews, provider education sessions, and conference calls, including preparation of supporting materials. Work with the CDI specialists to coordinate and schedule conference calls and site reviews/ preparation of materials for meetingsCommunicates coding and documentation-related trends, risks, and opportunities to CDI leadership and Coding partnersSupports ad-hoc record reviews for site-specific trainingTracks and reports CDI activity, query response rates, and education efforts using established tools (e.g., SharePoint dashboards. Monitors and tracks all clinician outreach and training activitiesAssists with denial prevention, audit readiness, and revenue integrity initiatives. Supports revenue cycle metrics and denial prevention effortsCommunicates coding-related findings weekly via a SharePoint file to coding partnersMaintains strict adherence to HIPAA, patient confidentiality and data security requirementsOther duties as assignedSkillsStrong analytic skills with the ability to interpret clinical documentation, coding guidelines and regulatory requirements. (clinical, operational, process, systems)Excellent written and verbal communication skills, particularly in provider querying and educationExperience in clinician coding and reviewing documentation guidelinesAbility to work independently in a remote environment, managing multiple priorities and deadlinesStrong organizational skills and attention to detailAdaptability in a rapidly evolving healthcare and reimbursement environmentFamiliarity with various electronic health record (EHR) systemsDemonstrated ability to communicate effectively with clinicians, nursing staff, and hospital administrationAssociate or Bachelor's degree in nursing, health information management/technology, or related fieldMinimum of 3 years' experience in clinical documentation integrity, coding, case management, utilization review or related clinical roles. Clinical background preferred (RN, LPN, PA, NP)Proficiency in Microsoft Office ApplicationsCertified Professional Coder (CPC) or Certified Clinical Documentation Specialist (CCDS), or Clinical Documentation Improvement Specialist (CDI) certificationExperience with Electronic Health Systems (EHRs) (e.g. Epic, Cerner)Familiarity with coding, CDI and analytical tools (e.g. 3M, CAC) a plusBenefitsMedicalDentalVisionLifeDisabilityHealthcare FSADependent Care FSALimited Healthcare FSAFSAs for Transportation and ParkingHSAsPaid time off9 observed holidaysPaid family leavePaid Time Off (PTO) each pay periodCan earn a minimum of 20 days and up to 25 days per calendar yearCompany OverviewThe practice of medicine is more than a job. It is a calling. Our purpose is to sustain that calling. It was founded in 2005, and is headquartered in Nashville, Tennessee, USA, with a workforce of 10001+ employees. Its website is https://www.envisionhealth.com.