Clinical Documentation Integrity (CDI) Specialist

Remote: 
Hybrid
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Addison Group Human Resources, Staffing & Recruiting Large https://www.addisongroup.com/
1001 - 5000 Employees
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Job description

Job Title: Clinical Documentation Integrity (CDI) Specialist

Location (City, State): Lakewood, CA OR Los Alamitos, CA (Hybrid – 2 days onsite/week)

Industry: Healthcare

Pay: $37.00 – $50 per hour (based on experience)

About Our Client

Our client is a well-established healthcare system seeking two Clinical Documentation Integrity (CDI) Specialists to support their inpatient documentation processes. This role is part of an expanding CDI initiative following an organizational restructure. While prior CDI experience is preferred, the team is open to candidates with strong clinical backgrounds and a willingness to learn.

Job Description

The CDI Specialist will be responsible for reviewing inpatient medical records to ensure accurate and complete documentation. This role plays a key part in supporting severity of illness, risk adjustment, and accurate DRG assignment by engaging with physicians and care teams.

Key Responsibilities

  • Review inpatient charts to ensure appropriate clinical documentation is present for coding and reimbursement accuracy
  • Communicate with physicians and other clinical staff to clarify documentation
  • Achieve daily production goals of approximately 25 chart reviews per day
  • Maintain a 40% query rate aligned with program standards
  • Participate in biannual CDI assessments to stay updated on best practices
  • Work with multiple EMR platforms, including Cerner, Epic, and 3M 360

Qualifications

  • Active RN license required (BSN or international MDS equivalent strongly preferred)
  • 1–2+ years of inpatient clinical experience
  • CDI certifications (CCDS, CDIP, CCS) are a plus
  • Strong knowledge of MS-DRG structure and Medicare guidelines
  • Technologically proficient and able to manage multiple systems simultaneously
  • Strong communication, critical thinking, and time management skills

Additional Details

  • Hours: Monday–Friday, 7:00 AM–4:00 PM or 8:00 AM–5:00 PM
  • Hybrid schedule: 2 days onsite/week; equipment provided
  • Free parking onsite
  • Panel interview format

Perks

  • Hybrid work flexibility
  • Structured orientation and CDI bootcamp training
  • Opportunity to work with a high-performing, supportive team
  • Referral bonuses available through Addison Group
  • Exposure to cutting-edge clinical documentation systems and practices

Addison Group is an Equal Opportunity Employer. Addison Group provides equal employment opportunities (EEO) to all employees and applicants without regard to race, color, religion, gender, sexual orientation, national origin, age, disability, genetic information, marital status, amnesty, or status as a covered veteran, in accordance with applicable federal, state, and local laws. Reasonable accommodation is available for qualified individuals with disabilities upon request.

IND 004-008

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Industry :
Human Resources, Staffing & Recruiting

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