You are applying for a position through Medix, a staffing agency. The actual posting represents a position at one of our clients.

Job Summary

Our client is seeking a CDI Specialist responsible for conducting comprehensive reviews of patient records to ensure accurate documentation of clinical indicators, engaging with medical staff for clarifications, delivering targeted documentation training, collaborating with interdisciplinary teams to reconcile documentation gaps, and monitoring key departmental performance metrics.

Responsibilities / Job Duties

• Conduct comprehensive concurrent and retrospective reviews of patient records to ensure clinical indicators accurately reflect the severity of illness (SOI) and risk of mortality (ROM).
• Facilitate clinically sound, compliant queries to medical staff to clarify complex diagnoses, procedures, and POA status, adhering strictly to national industry standards.
• Deliver targeted documentation training to providers and medical staff, identifying longitudinal trends and supporting the onboarding process for new clinicians.
• Partner with Coding, Quality, and Case Management teams to reconcile documentation gaps and ensure accurate code assignment, HCC capture, and audit readiness.
• Monitor departmental KPIs, including query response rates and documentation improvement trends, while maintaining adherence to CMS and third-party payer regulations.

Minimum Education and Experience Qualification Requirements

Education

• Active clinical licensure or certification (RN, MD, NP, PA, or equivalent) with 1–2 years of recent clinical or CDI-specific experience, or relevant Coding background in addition to recent CDI experience.

Qualifications

• Deep knowledge of disease processes, ICD-10-CM/PCS coding concepts, and DRG/HCC methodologies.
• Exceptional professional communication and conflict resolution skills, with the ability to provide real-time feedback to physicians and executive leadership.
• Proficiency in various Electronic Health Record (EHR) platforms and the ability to work independently in a high-volume, accuracy-driven environment.
• Must be able to obtain and maintain required regional safety and workplace conduct certifications (including fire safety and specialized behavioral response training) within 30 days of hire.
• Professional certifications such as CCDS, CDIP, CCS, or RHIA are preferred.
• Prior background in acute care settings, risk adjustment, or outpatient CDI initiatives is preferred.

Schedule / Shift

Monday - Friday, 8am - 5pm

Benefits

• Paid Sick Leave (Medix provides paid sick leave according to state and local sick leave ordinances).
• Health Benefits / Dental / Vision (Medix offers 6 different health plans: 3 Major Medical Plans, 2 Fixed Indemnity Plans (Standard and Preferred), and 1 Minimum Essential Coverage (MEC) Plan. Eligibility for health benefits is based on verifying that an average of 30 hours per week during the first 4 weeks of the work assignment has been met. If you meet eligibility requirements and take action to enroll, you will be covered no earlier than 60 days into your assignment, depending on plan selection(s)).
• 401k (Eligible on the first 401k open enrollment date following 6 consecutive months on assignment. 401k Open Enrollment dates are 1/1, 4/1, 7/1, and 10/1).
• Short Term Disability Insurance.
• Term Life Insurance Plan.

Required Employment / Compliance Language

• Medix is an equal opportunity employer. We are committed to providing a safe and inclusive workplace for all employees, your race, color, religion, sex, sexual orientation, gender identity, national origin, veteran or disability status.

^*We will consider for employment all qualified Applicants, including those with criminal histories, in a manner consistent with the requirements of applicable federal, state, and local laws, including the City of Los Angeles' Fair Chance Initiative for Hiring Ordinance (FCIHO), Los Angeles Fair Chance Ordinance for Employers (ULAC), The San Francisco Fair Chance Ordinance (FCO), and the California Fair Chance Act (CFCA).

Medix Overview:

With over 20 years of experience connecting organizations with highly qualified professionals, Medix is a leading provider of workforce solutions for clients and candidates across the healthcare, scientific, technology, and government industries. Through our core purpose of positively impacting lives, we’re dedicated to creating opportunities for job seekers at some of the nation's top companies. As an award-winning career partner, Medix is committed to helping talent find fulfilling and meaningful work because our mission is to help you achieve yours.

Any required state or Joint Commission training is compensated at the state or local minimum wage rate.

^*As a job position within our Revenue Cycle division, a successful completion of a background check may be required as a condition of employment. This requirement is directly related to essential job functions including but not limited to: accessing financial and confidential information, handling financial and other payment data, and working within departments that care for vulnerable populations, such as, minors, elderly and those with physical or mental disabilities. Due to these job duties, this position has a significant impact on the business operations and reputation, as well as the safety and well-being of individuals who may be cared for as part of the job position or who may interact with staff or clients.