Key Facts

Remote From:

New York (USA)

Part time

English

Hard Skills

ICD Coding (ICD-9/ICD-10) Physician Data Query Clinical Medicine E-MDs (EMR/EHR System)

Other Skills

•
Detail Oriented
•
Collaboration

Roles & Responsibilities

5+ years of experience in clinical documentation integrity or improvement
Deep knowledge of MS-DRG methodology, CC/MCC hierarchies, and ICD-10-CM/PCS coding guidelines
Expertise in physician query management per AHIMA and ACDIS compliant query standards
Strong clinical background with ability to interpret medical records and clinical documentation

Requirements:

Lead clinical documentation integrity programs for inpatient and outpatient settings
Evaluate AI-generated clinical documentation improvement suggestions, physician queries, and coding recommendations
Conduct and review clinical documentation to ensure accurate capture of diagnoses and procedures
Develop and manage physician query processes

Job description

About the job

Mercor connects elite creative and technical talent with leading AI research labs. Headquartered in San Francisco, our investors include Benchmark, General Catalyst, Peter Thiel, Adam D'Angelo, Larry Summers, and Jack Dorsey.

Position: Clinical Documentation Integrity (CDI) Leader
Type: Contract
Compensation: $84/hour
Location: Remote

Role Responsibilities

Lead clinical documentation integrity programs for inpatient and outpatient settings. Oversee concurrent and retrospective review workflows.
Evaluate AI-generated clinical documentation improvement suggestions, physician queries, and coding recommendations. Ensure clinical accuracy and compliance.
Conduct and review clinical documentation. Ensure accurate capture of diagnoses, procedures, severity of illness, and risk of mortality.
Develop and manage physician query processes. Align with AHIMA and ACDIS guidelines.
Monitor CDI program KPIs including query response rates, CC/MCC capture rates, case mix index, and DRG accuracy.
Collaborate with coding, compliance, and clinical teams. Address documentation gaps and improve query processes.

Qualifications

Must-Have

5+ years of experience in clinical documentation integrity or improvement. At least 2 years in a manager or leadership role.
Deep knowledge of MS-DRG methodology, CC/MCC hierarchies, and ICD-10-CM/PCS coding guidelines.
Expertise in physician query management per AHIMA and ACDIS compliant query standards.
Strong clinical background. Ability to interpret medical records and clinical documentation.
Proficiency with CDI software platforms (3M, Nuance, Optum360, or equivalent) and EHR systems.
Exceptional written and verbal English communication skills.
High attention to detail. Ability to critically evaluate clinical documentation and AI-generated outputs.
Comfortable working independently in a fully remote environment.

Preferred

CCDS (Certified Clinical Documentation Specialist) or CDIP (Clinical Documentation Improvement Practitioner) credential.
Experience with HCC risk adjustment and outpatient CDI programs.
Background in RN, RHIA, CCS, or similar clinical or coding credential.
Familiarity with AI-assisted CDI tools (e.g., Nuance DAX, 3M M*Modal) and comfort evaluating AI-generated clinical content.
Experience presenting CDI performance metrics to clinical and executive leadership.

Application Process (Takes 20–30 mins to complete)

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Resources & Support

For details about the interview process and platform information, please check: https://talent.docs.mercor.com/welcome
For any help or support, reach out to: support@mercor.com

PS: Our team reviews applications daily. Please complete your AI interview and application steps to be considered for this opportunity.

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