Job description
Job Title: CDI Nurse
Length: 6 month Contract-to-hire
Location: Remote
Position Summary
The Clinical Documentation Special Projects Team Member supports strategic initiatives to improve the quality, accuracy, and compliance of clinical documentation across the organization. This role partners with physicians, CDI teams, coding, and IT to identify documentation gaps, implement process improvements, and enhance overall documentation integrity.
Responsibilities include conducting detailed chart reviews, supporting project-based CDI initiatives, and analyzing data to measure performance and guide ongoing improvements. This individual will also provide support during high-volume periods, contribute to education and training efforts, and assist in developing workflows and documentation best practices.
Responsibilities
- Conduct comprehensive reviews of clinical documentation to identify gaps and improvement opportunities
Analyze trends and report on project outcomes, KPIs, and performance metrics
Collaborate cross-functionally with providers, coding, CDI leadership, and IT teams
Support documentation improvement initiatives and workflow optimization
Provide case review support during high-demand periods or special projects
Assist with provider and staff education related to documentation, query processes, and compliance
Contribute to development of documentation and coding-related policies and procedures
Participate in audits, reporting, and continuous improvement initiatives
Requirements
- Education (one of the following): RN (BSN, ADN, or diploma)
Physician Assistant (PA)
RHIT or RHIA (CAHIIM-accredited program)
Experience RN/PA: 3+ years in an acute care setting
5+ years CDI experience preferred
RHIT/RHIA: 3+ years inpatient coding experience
5+ years CDI experience preferred
6+ years CDI or relevant experience may be considered in lieu of the above
Certifications (Required)
CCDS or CDIP
RN/PA licensure as applicable (state-specific requirements apply)
RHIT/RHIA candidates must also hold CCS certification
Core Knowledge & Skills
Strong knowledge of ICD-10-CM, MS-DRG, APR-DRG methodologies
Deep understanding of disease processes, clinical documentation standards, and coding guidelines
Experience with CDI query processes and physician engagement
Proficiency in EHR systems (Epic preferred), Microsoft Office, and reporting tools
Ability to analyze data, identify trends, and drive process improvement
Strong communication, collaboration, and education skills
Ability to work independently in a fast-paced, remote environment
Work Environment: Remote position
High-volume, fast-paced setting
Extended periods working at a computer
About Medasource
Medasource is a leading consulting and professional services firm supporting organizations across the healthcare ecosystem – including Life Sciences, RCM/Payers, Technology, Government and Nursing & Allied Health. Recognized for our commitment to our employees, consultants, and the communities we serve, we deliver solutions that drive meaningful progress across healthcare. With a nationwide footprint of 33 offices and 1,900+ active consultant placements across 120+ clients who are actively engaging Medasource talent, we continue to expand our impact as we advance the future of healthcare, one client at a time.
