Vistec Partners
Website:
vistecpartners.com
Job details:
Position Summary
The CDI Specialist is responsible for improving the quality and accuracy of clinical documentation within the healthcare system. This role serves as a liaison between providers, coders, and compliance teams, ensuring that medical records accurately reflect patient conditions, severity of illness, and risk of mortality. A key focus of this position is provider education, guiding clinicians on documentation best practices to support patient care, compliance, and appropriate reimbursement.
Key Responsibilities
Documentation Review
- Analyze provider documentation for completeness, accuracy, and specificity.
- Identify gaps, inconsistencies, or ambiguities requiring clarification.
Provider Education & Training
- Conduct one-on-one and group education sessions with physicians and advanced practice providers.
- Develop specialty-specific training materials, tip sheets, and quick reference guides.
- Provide ongoing feedback using provider-specific data (query rates, denial trends, quality metrics).
Clinical Queries
- Issue compliant queries to providers when documentation requires clarification.
- Collaborate with providers to ensure timely and accurate responses.
Compliance & Quality
- Ensure documentation meets CMS, Joint Commission, and organizational standards.
- Support accurate coding for quality reporting, risk adjustment, and value-based care initiatives.
Collaboration
- Partner with coding, billing, and quality teams to align documentation with organizational goals.
- Participate in multidisciplinary meetings to address documentation challenges.
Qualifications
Education:
- Clinical background preferred.
- HIM or RHIA/RHIT certification may be considered.
Experience:
- 5+ years of clinical or coding experience in acute care settings.
- Prior CDI experience strongly preferred.
Skills:
- Strong knowledge of ICD-10-CM/PCS, DRG, and HCC coding.
- Excellent communication and teaching skills.
- Ability to interpret clinical data and translate into documentation requirements.
- Proficiency with EHR systems and Microsoft Office tools.
Performance Metrics
- Reduction in provider query rates over time.
- Improvement in case mix index (CMI) and risk adjustment scores.
- Increased provider satisfaction with CDI support.
- Compliance with regulatory documentation standards.
Career Impact
This role directly influences:
- Patient Care – ensuring the medical record reflects the true clinical picture.
- Financial Health – supporting accurate reimbursement and reducing denials.
- Organizational Reputation – improving publicly reported quality outcomes.
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