Role Description
The Clinical Documentation Integrity (CDI) Specialist will be responsible for the following:
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Review AI-agent attempts at realistic CDI/coding tasks.
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Judge whether each disposition is correct and adequately supported by the record.
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Confirm work is completed and recorded.
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Ensure codes are changed, queries sent, holds placed, DRG recomputed, and notes and CDI reviews filed.
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Identify fabricated or overstated work.
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Verify cited labs, documents, or prior encounters exist.
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Confirm provider responses and DRG or dollar figures are produced by the grouper.
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Judge completeness and apply the right action to the right chart.
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Require verify-before-finalize for code fix, query, clinical-validation query, or leave-alone decisions.
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Write clear, specific agree/disagree rationales on each attempt.
Qualifications
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2+ years of professional experience in inpatient hospital CDI, inpatient DRG coding/auditing, or clinical-documentation denial management.
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Current or recent hands-on work under ICD-10-CM/PCS and MS-DRGs.
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Reflexive professional judgment; ability to spot unsupported diagnoses, leading queries, missed CC/MCCs, or rubber-stamped accounts.
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CCDS, CDIP, CCS, RHIA/RHIT, or RN with CDI experience (or equivalent).
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Hospital, coding, or HIM background.
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Comfort working inside CAC/CDI software and reading the full clinical record, including H&Ps, consults, progress notes, discharge summaries, labs, and flowsheets.
Company Description
Mercor connects elite creative and technical talent with leading AI research labs. Headquartered in San Francisco, our investors include:
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Benchmark
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General Catalyst
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Peter Thiel
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Adam D'Angelo
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Larry Summers
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Jack Dorsey