Clinical Documentation Expert - Fully Remote | Upto $84/hr

About the job

Mercor connects elite creative and technical talent with leading AI research labs. Headquartered in San Francisco, our investors include Benchmark , General Catalyst , Peter Thiel , Adam D'Angelo , Larry Summers , and Jack Dorsey .

Position: Clinical Documentation Integrity (CDI) Leader
Type: Contract
Compensation: $84/hour
Location: Remote
Role Responsibilities

- Lead clinical documentation integrity programs for inpatient and outpatient settings. Oversee concurrent and retrospective review workflows.

- Evaluate AI-generated clinical documentation improvement suggestions for accuracy and compliance. Ensure alignment with clinical standards.

- Conduct and review clinical documentation to capture diagnoses, procedures, severity of illness, and risk of mortality accurately.

- Develop and manage physician query processes following AHIMA and ACDIS guidelines.

- Monitor CDI program KPIs, including query response rates, CC/MCC capture rates, case mix index, and DRG accuracy.

- Collaborate with coding, compliance, and clinical teams to address documentation gaps and improve query processes. Provide education on best practices.

Qualifications

Must-Have

- 5+ years of experience in clinical documentation integrity or improvement, with 2+ years in a manager or leadership role.

- Deep knowledge of MS-DRG methodology, CC/MCC hierarchies, and ICD-10-CM/PCS coding guidelines.

- Expertise in physician query management per AHIMA and ACDIS compliant query standards.

- Strong clinical background with the ability to interpret medical records and clinical documentation.

- Proficiency with CDI software platforms (3M, Nuance, Optum360, or equivalent) and EHR systems .

- Exceptional written and verbal English communication skills.

- High attention to detail with the ability to critically evaluate clinical documentation and AI-generated outputs.

- Comfortable working independently in a fully remote environment.

Preferred

- CCDS (Certified Clinical Documentation Specialist) or CDIP (Clinical Documentation Improvement Practitioner) credential.

- Experience with HCC risk adjustment and outpatient CDI programs.

- Background in RN , RHIA , CCS , or similar clinical or coding credential.

- Familiarity with AI-assisted CDI tools (e.g., Nuance DAX, 3M M Modal) and comfort evaluating AI-generated * clinical content.

- Experience presenting CDI performance metrics to clinical and executive leadership.

Application Process (Takes 20–30 mins to complete)

- Upload resume

- AI interview based on your resume

- Submit form

Resources & Support

- For details about the interview process and platform information, please check:

- For any help or support, reach out to:

PS: Our team reviews applications daily. Please complete your AI interview and application steps to be considered for this opportunity.

Originally posted on Himalayas