CDI 2nd Level Review
CDI Second Level Reviewer
- Day to Day Expectations/Responsibilities:
- Perform retrospective CDI reviews focused on DRG validation.
- Review accounts identified by coding and assigned through a work queue (WQ) by the CDI Manager.
- Validate DRGs and ensure documentation supports accurate coding and compliance.
- Compose, send, and follow up on physician queries using existing templates, with responsibility to edit queries for compliance.
- Always adhere to AHIMA/ACDIS compliant query guidelines.
- Collaborate with leadership to ensure accurate reporting of project outcomes.
- Meet productivity expectations (anticipated 8–10 DRG validations per day, subject to adjustment as the project matures).
- Certification:
- An active
CDI certification required.
- Nursing License:
Active - BSN
- Compact RN License
required.
- Experience:
- Must have 3-5 years of CDI experience, and a minimum of 1-2 years of SLR experience
- Strong clinical validation denial review and appeal support experience
- Hands on involvement with Vizient metrics and outlier case analysis
- Experience reviewing mortality cases with a solid understanding of SOI/ROM and expected mortality
- Prior CDI contract experience strongly preferred.
- Experience in large healthcare facilities, bedside and as a CDI (
500+ beds , Level 1 Trauma/Teaching Hospital , ICU exposure ).
- Proven ability to quickly adapt to new workflows and hit the ground running.
- Strong knowledge of
compliant query practices .
- Summary of the position:
- We are seeking an experienced
Retrospective CDI Specialist to join a Vizient improvement project. This contract-only role requires a clinical professional with strong CDI knowledge, proven query compliance expertise, and the ability to work independently in a high-volume environment. Position title: CDI Second Level Reviewer Location: Fully Remote, USA Assignment Length: 6+ Months Compensation: $45-55 hourly Work schedule: Monday - Friday; Day time hours Benefits: This position is eligible for medical, dental, vison, and 401 (k)