Sage Clinical RCM, LLC · 12 hours ago
CDI Quality Reviewer (Remote)
United States
Full-time
Remote
Mid Level
3+ years expSage Clinical RCM, LLC is focused on improving healthcare documentation quality, and they are seeking a CDI Quality Reviewer. This role is responsible for reviewing clinical documentation to enhance accuracy, support coding compliance, and improve audit readiness, all while collaborating with various teams to achieve high-quality outcomes.
Hospital & Health Care
Responsibilities
Perform concurrent and retrospective reviews of inpatient medical records to assess documentation completeness and accuracy
Validate clinical indicators supporting reported diagnoses and procedures
Identify documentation gaps impacting DRG assignment, SOI/ROM, and quality metrics
Flag documentation risks that may affect audits, denials, or compliance
Provide clear, written review notes and recommendations aligned with official coding and CDI guidelines
Collaborate with CDI, coding, and audit teams to share findings, trends, and improvement opportunities
Support audit defense and documentation quality initiatives as needed
Maintain quality and productivity standards while working independently in a remote environment
Qualification
Required
Active RN license or other applicable clinical license
Minimum 3–5 years of CDI, inpatient coding, or clinical documentation review experience, including both concurrent and retrospective review
One of the following credentials required: CDIP, CCDS, or CCS
Strong understanding of DRGs, SOI/ROM, and inpatient documentation standards
Knowledge of Official Coding Guidelines and ACDIS/AHIMA practices
Ability to analyze complex clinical documentation and apply critical thinking
Comfortable working independently in a fully remote role
Preferred
Experience supporting external audits or payer reviews
Exposure to multiple service lines, including medicine, surgery, and critical care
Experience working in Epic or other major EHRs
Company
Sage Clinical RCM, LLC
Sage Clinical RCM is a tech-enabled clinical revenue cycle firm transforming how healthcare organizations achieve clarity, accuracy, and performance across the revenue cycle.
51-200 employees
Funding
Current Stage
Growth StageCompany data provided by crunchbase