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Company Summary

Accuity partners with hospitals and health systems through a technology-enabled, physician-led model that improves clinical documentation integrity, coding accuracy, reimbursement optimization, and quality outcomes.

Job Summary

The Part-Time Retrospective CDI Specialist conducts detailed post-discharge reviews of inpatient medical records to ensure accurate, complete, and compliant clinical documentation. This role supports coding accuracy, appropriate reimbursement, and quality reporting by identifying documentation gaps and collaborating with internal teams to drive consistency and improvement.

Work Schedule Requirements

• Minimum commitment of 8 hours per week, with the opportunity to work up to 16 hours per week
• Required: At least 8 hours worked on weekends
• Optional additional hours may be completed as:
• An additional 8 hours on weekends, or
• Two 4-hour evening shifts (4:00 PM – 8:00 PM) during the week
• This is an hourly, part-time position and is not eligible for benefits or paid time off
• Training schedule is flexible and may include a combination of weekend and weekday sessions

Core Duties

• Perform retrospective reviews of inpatient medical records to evaluate documentation accuracy, completeness, and compliance
• Identify opportunities to improve documentation related to severity of illness (SOI), risk of mortality (ROM), and accurate code assignment
• Ensure alignment with ICD-10-CM/PCS coding guidelines, DRG methodologies, and regulatory requirements
• Apply critical thinking to assess clinical documentation and identify inconsistencies or gaps

Cross-Functional Collaboration

• Partner with coding, CDI, and quality teams to support standardized documentation practices

• Communicate findings and trends to internal stakeholders to support continuous improvement
• Provide feedback and education based on retrospective review outcomes.

Operational Excellence

• Meet established productivity and quality benchmarks defined by leadership
• Maintain accuracy, consistency, and timeliness in review completion
• Adhere to internal workflows, tools, and documentation standards in a fully remote environment.

Compliance and Quality

• Ensure all reviews meet regulatory, compliance, and audit standards
• Support organizational readiness for audits and external reviews through accurate documentation

Other Duties as Assigned

Perform additional responsibilities as needed to support departmental and organizational objectives

Qualifications

Education and Credentials

• At least one of the following required: CCDS, CDIP, RHIT, RHIA, RN, or equivalent credential

Experience

• Minimum of 3 years of CDI, coding, or clinical experience, preferably in an inpatient setting
• Demonstrated knowledge of ICD-10-CM/PCS coding guidelines and DRG methodology
• Experience performing retrospective CDI reviews strongly preferred
• Familiarity with clinical documentation standards, reimbursement methodologies, and quality metrics

Core Competencies

• Strong analytical and critical thinking skills with the ability to interpret complex clinical information
• High attention to detail and commitment to accuracy
• Effective written and verbal communication skills in a remote work environment
• Ability to manage time independently and meet productivity expectations in a part-time structure
• Collaboration and partnership mindset when working with cross-functional teams
• Adaptability and comfort working within evolving guidelines and priorities
• Accountability for quality, compliance, and performance outcomes

Physical Requirements 

The requirements described here are representative of those that must be met by an employee to successfully perform the essential functions of this job with or without reasonable accommodations. Unless otherwise indicated, Accuity positions require interaction with people and technology while either sitting or standing. Employees must be able to communicate via phone, email, etc. and sit for extended periods of time, with or without reasonable accommodations. Physical effort and exposure to physical risk are limited to that of an office role / environment

Position and Employment Statement

While this job description is intended to be an accurate reflection of the job requirements, management reserves the right to modify, add or remove duties from a job and to assign other duties as necessary and at any time. All positions at Accuity Delivery Systems, LLC, are at-will employment, and a position description is not a guarantee of a job or of job responsibilities.

While this job description is intended to be an accurate reflection of the job requirements, management reserves the right to modify, add or remove duties from a job and to assign other duties as necessary and at any time. All positions at Accuity are at-will employment, and a position description is not a guarantee of a job or of job responsibilities.