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Intero Group - HIM Services

Clinical Documentation Specialist (CDI) – RN, CCDS, or CDIP

Intero Group - HIM Services, New York, New York, us, 10261

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Company Description Intero Group provides nationwide Health Information Management (HIM) services tailored to organizations of various sizes. With a team of seasoned professionals, the company ensures delivery of high‑quality outcomes through services such as Remote Medical Coding, Auditing, Clinical Documentation Improvement (CDI), and HIM Consulting. Intero Group is dedicated to supporting its clients, colleagues, and partners with comprehensive service and expertise. By fostering connections with exceptional talent, we help drive growth and success for healthcare facilities.

Clinical Documentation Specialist (CDI) – RN, CCDS, or CDIP Full‑Time | Remote

Position Summary We are seeking an experienced

Clinical Documentation Specialist (CDI)

to join our team in a

full‑time, fully remote

capacity.

The ideal candidate will have

3+ years of CDI experience , with demonstrated expertise in

Behavioral Health, OB/NICU, and comprehensive chart reviews .

Key Responsibilities

Conduct concurrent and/or retrospective reviews of inpatient medical records to ensure accurate clinical documentation

Identify documentation gaps related to diagnoses, procedures, severity of illness, and risk of mortality

Issue compliant, clinically appropriate provider queries in accordance with ACDIS/AHIMA guidelines

Collaborate with physicians, nursing staff, and interdisciplinary teams to improve documentation quality

Apply ICD‑10‑CM/PCS coding knowledge to support accurate documentation and reporting

Maintain productivity and quality standards while working independently in a remote environment

Stay current with regulatory requirements, coding guidelines, and CDI best practices

Required Qualifications

Active

RN license

or

CCDS certification

Minimum 3 years of CDI experience

Proven CDI experience in:

Behavioral Health

OB/NICU

Comprehensive chart reviews

Strong clinical knowledge and critical thinking skills

Solid understanding of ICD‑10‑CM/PCS, MS‑DRGs, SOI/ROM, and quality measures

Excellent written and verbal communication skills

Ability to work independently in a fully remote environment

Preferred Qualifications

Experience with multiple EHR systems

Prior remote CDI experience

RN, CCDS, or CDIP certification

What We Offer

100% remote work environment

Full‑time, stable employment

Competitive compensation

Full Benefits / PTO

Supportive and collaborative CDI team

Opportunities for professional growth and development

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