Guidehouse Managed Services LLC is hiring a Clinical Documentation Integrity Specialist - Remote

Guidehouse Managed Services LLC is hiring a Clinical Documentation Integrity Specialist to ensure the accuracy and completeness of clinical documentation. In this remote role, you will perform secondary chart reviews to identify gaps, ensure compliant coding, and facilitate communication between coders, educators, and providers. Your work is critical for reflecting patient severity and meeting regulatory standards.

What You'll Do

• Conduct daily, concurrent review of inpatient records on assigned units to ensure complete and accurate physician documentation at discharge.
• Review daily admissions, perform initial code assignment for a working DRG, and complete CDI software data entry.
• Update the 'working DRG' as new documentation or physician query responses support a change.
• Communicate to the CDI Coordinator when daily review assignment volume is too high or low.
• Initiate compliant physician queries when documentation is confusing, ambiguous, or missing, and follow up for an immediate response.

What We're Looking For

• Bachelor's degree.
• A professional credential: RN, MD, or MD Equivalent (MBBS).
• 4 years' experience providing direct patient care to acute and chronically ill patients in inpatient settings, with critical care, ED, or strong med-surg experience preferred.
• 2+ years of prior Clinical Documentation Integrity (CDI) experience.
• Familiarity with encoder software and DRG assignment.
• Current working knowledge of official coding guidelines and coding clinics.

Nice to Have

• CCDS or CDIP certification preferred.
• Experience in ED, Critical Care, Case Management, or inpatient acute care at a referral hospital.
• Coding, Case Management, and/or Utilization Review experience.
• A strong clinical understanding of disease processes, medical terminology, anatomy, physiology, and microbiology.
• The ability to converse effectively with physicians in sometimes difficult scenarios.
• Strong typing and computer skills; proficiency with EHR systems, CDI software, and encoders.

Technical Stack

• CDI software systems
• Encoders
• EHR systems

Team & Environment

You will collaborate with Coders, Coding Educators, Coding Quality Auditors, Case Managers, the Quality Department, and Providers. This role reports to the CDI Coordinator.

Benefits & Compensation

• Compensation: $61,000.00 - $101,000.00
• Medical, Rx, Dental & Vision Insurance
• Personal and Family Sick Time & Company Paid Holidays
• Position may be eligible for a discretionary variable incentive bonus
• Parental Leave
• 401(k) Retirement Plan
• Basic Life & Supplemental Life Insurance
• Health Savings Account, Dental/Vision & Dependent Care Flexible Spending Accounts
• Short-Term & Long-Term Disability
• Tuition Reimbursement, Personal Development & Learning Opportunities
• Skills Development & Certifications
• Employee Referral Program
• Corporate Sponsored Events & Community Outreach
• Emergency Back-Up Childcare Program

Work Mode

This is a fully remote position.

Guidehouse is an Equal Opportunity Employer–Protected Veterans, Individuals with Disabilities or any other basis protected by law, ordinance, or regulation.