Clinical Documentation Improvement (CDI)

Greetings of the day !

Our reputed MNC Client is hiring for Clinical Documentation Improvement (CDI) role:

Location: Hyderabad

Work Mode: WFO

Shift: 6:00 PM - 3:00 AM (For 6-8 weeks) and then 11 AM - 8 PM regular after training.

Cab Facility: Both side cab

About the Role:
We are hiring experienced healthcare professionals for our Clinical Documentation Improvement (CDI) team. The role involves reviewing inpatient medical records, improving clinical documentation quality, ensuring accurate capture of patient severity and risk factors, supporting coding integrity, and collaborating with healthcare providers to achieve compliant and accurate documentation.

Open Positions:

• Quality Analyst
• Trainer
• Specialist
• Senior Specialist

Key Responsibilities:

• Review inpatient medical records for documentation completeness, accuracy, and compliance.
• Identify documentation gaps and opportunities for clinical clarification.
• Collaborate with physicians and healthcare professionals to improve clinical documentation quality.
• Support accurate DRG/IPDRG assignment through effective documentation practices.
• Ensure compliance with organizational and regulatory documentation standards.
• Conduct concurrent and retrospective chart reviews.
• Participate in audits, quality reviews, and documentation improvement initiatives.
• Analyze clinical documentation trends and recommend process improvements.
• Provide education and training to providers and internal teams on CDI best practices.
• Maintain quality metrics and productivity standards.

Required Qualifications

• MBBS / MD / B.Sc. Nursing / M.Sc. Nursing

Required Experience:
Clinical Experience:

• Minimum 2+ years of hands-on clinical experience in any of the following areas:
• ICU / NICU / General Ward / Surgical Ward

OR

CDI / Coding Experience:

• Inpatient Clinical Documentation Improvement (CDI), OR
• IPDRG Coding

Desired Skills

• Strong understanding of disease processes and clinical documentation standards.
• Knowledge of DRG/IPDRG methodologies.
• Excellent medical record review and analytical skills.
• Strong communication and physician query writing skills.
• Familiarity with healthcare coding and reimbursement concepts.
• Attention to detail and quality-focused mindset.
• Ability to work independently and collaboratively in a fast-paced environment.

Warm Regards,

Gayatri Kumari

Email Id: [email protected]

V3 Staffing Solutions