Clinical Documentation Specialist @ A client Randstad

Job Description

This will be a rotational shift job.

11 AM to 8 PM, 2 PM to 11 PM, 6.30 PM to 3.30 AM.

If interested, pls share CV on dh****************e@ra*****d.in

As a CDI Specialist, you will review clinical documentation in electronic health records to ensure accuracy, completeness, and compliance with coding standards. You will issue compliant queries to physicians and collaborate with internal teams to support documentation integrity.

Responsibilities:

Perform concurrent reviews of inpatient records using EHR platforms (e.g., Iodine, Epic)

Identify documentation gaps and issue compliant, patient-specific queries

Apply knowledge of DRG classification, ICD-10-CM/PCS, and coding guidelines.

Maintain accurate logs of reviews, query status, and follow-ups in designated systems.

Achieve productivity and quality benchmarks under the CDI program.

Qualification and Exp :

Bachelors degree in Life Sciences, or equivalent

36 years of experience in medical coding or CDI in an acute care or RCM setting (some type of coding experience required; in-patient coding experience highly preferred)

Certified Clinical Documentation Specialist (CCDS/CDIP) or AHIMA/AAPC credential

Proficiency with ICD-10, DRG grouping, and query compliance practices

Strong communication, analytical, and clinical interpretation skills

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