CDI Specialist

About Us:

Our purpose is to help clients exceed their financial health goals. Across the reimbursement cycle, our scalable solutions and clinical expertise help solve programmatic needs. Enabling our teams with leading technology allows analytics to guide our solutions and keeps us accountable achieving goals.

We build long-term careers by investing in YOU. We seek to create an environment that cultivates your professional development and personal growth, as we believe your success is our success.

ESSENTIAL DUTIES AND RESPONSIBILITIES:
Note:

Job Requisition - CDI specialist/Clinical Auditor (Offshore / India)

Job Title

CDI specialist/ Clinical Auditor - Offshore (India)

Job Summary

The DRG Auditor (Offshore) is responsible for performing high-quality inpatient DRG audits to ensure accurate MS-DRG assignment in compliance with ICD-10-CM/PCS coding guidelines, CMS regulations, and client-specific requirements. This role supports onshore teams by validating coding accuracy, CC/MCC capture, and documentation sufficiency to ensure reimbursement integrity and audit readiness.

Key Responsibilities

Required Qualifications

Knowledge of CDI concepts and physician documentation standard

PHYSICAL DEMANDS:
Note: Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions as described. Regular eye-hand coordination and manual dexterity is required to operate office equipment. The ability to perform work at a computer terminal for 6-8 hours a day and function in an environment with constant interruptions is required. At times, Team Members are subject to sitting for prolonged periods. Infrequently, Team Member must be able to lift and move material weighing up to 20 lbs. Team Member may experience elevated levels of stress during periods of increased activity and with work entailing multiple deadlines.
A job description is only intended as a guideline and is only part of the Team Member s function. The company has reviewed this job description to ensure that the essential functions and basic duties have been included. It is not intended to be construed as an exhaustive list of all functions, responsibilities, skills and abilities. Additional functions and requirements may be assigned by supervisors as deemed appropriate.