Job Description
Insight Global is seeking a fully remote Clinical Documentation Improvement (CDI) Specialist to support a Healthcare AI client. This is a part-time opportunity working approximately 10–20 hours/week where candidates will leverage their CDI expertise to evaluate, validate, and improve AI-driven documentation improvement strategies. This role is highly analytical and requires a strong understanding of inpatient documentation, DRG methodologies, and compliant query practices. Laptop and equipment will be provided.
Shift Times: Flexible scheduling within Monday-Friday, 9am-8pm PST (can't work weekends)
(must be available 10-20 hours/week from 9am-8pm PST // ideal for individuals seeking additional income)
Duration: 3-month contract (potential to extend)
Responsibilities:
• Review inpatient medical records and evaluate AI-generated CDI recommendations for documentation improvement opportunities
• Assess the accuracy, reasoning quality, and compliance of AI-identified CDI queries
• Identify gaps where AI recommendations diverge from compliant CDI practices and explain discrepancies
• Analyze clinical documentation to identify CC/MCC opportunities, severity of illness (SOI), and risk of mortality (ROM) indicators
• Provide detailed clinical reasoning behind documentation improvement opportunities to help enhance AI modeling and outputs
• Ensure queries are compliant, non-leading, and appropriately structured to maintain positive provider relationships
• Partner with product and GTM teams to critique presentations and provide subject matter expertise on CDI workflows and best practices
We are a company committed to creating diverse and inclusive environments where people can bring their full, authentic selves to work every day. We are an equal opportunity/affirmative action employer that believes everyone matters. Qualified candidates will receive consideration for employment regardless of their race, color, ethnicity, religion, sex (including pregnancy), sexual orientation, gender identity and expression, marital status, national origin, ancestry, genetic factors, age, disability, protected veteran status, military or uniformed service member status, or any other status or characteristic protected by applicable laws, regulations, and ordinances. If you need assistance and/or a reasonable accommodation due to a disability during the application or recruiting process, please send a request to HR@insightglobal.com.To learn more about how we collect, keep, and process your private information, please review Insight Global's Workforce Privacy Policy: https://insightglobal.com/workforce-privacy-policy/.
Required Skills & Experience
• 3+ year of Clinical Documentation Improvement (CDI) experience in an acute care setting
• Strong understanding of MS-DRG and/or APR-DRG reimbursement methodologies
• Familiarity with Severity of Illness (SOI) / Risk of Mortality (ROM) scoring and quality metrics (PSI, HAC, mortality)
• Experience reviewing inpatient documentation and identifying compliant CDI query opportunities
• Ability to think critically and clearly explain clinical reasoning behind documentation improvement decisions
Nice to Have Skills & Experience
• CCDS, CDIP, or RN credential preferred
• Experience working in a tech-enabled or AI-supported healthcare environment
• Background in coding (ICD-10-CM/PCS) or collaboration with coding teams
• Exposure to denial prevention, audit support, or quality improvement initiatives
Benefit packages for this role will start on the 1st day of employment and include medical, dental, and vision insurance, as well as HSA, FSA, and DCFSA account options, and 401k retirement account access with employer matching. Employees in this role are also entitled to paid sick leave and/or other paid time off as provided by applicable law.