Clinical Documentation Expert - Fully Remote

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 MModal) 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: https://talent.docs.mercor.com/welcome
• For any help or support, reach out to: [email protected]

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