CDI Specialist - 2nd Level Review (Inpatient) | 52-Week Remote Contract – Cambridge, MA

CDI Specialist (Second-Level Review) – On-Site in Cambridge, MA

Experienced Clinical Documentation Integrity (CDI) Specialist needed for second-level review — On-site in Cambridge, MA (CCDS/CDIP & SmarterDx required).

Join a dynamic and collaborative healthcare team as a Clinical Documentation Integrity (CDI) Specialist focused on second-level reviews and clinical validation. This on-site CDI job is located in Cambridge, MA 02138 — part of the Greater Boston healthcare community — offering career growth, complex inpatient casework, and engagement with physician and coding teams.

Job Details

• Position: Clinical Documentation Integrity (CDI) Specialist – Second-Level Review
• Location: On-Site in Cambridge, MA (02138) — Cambridge/Boston, Massachusetts CDI job
• Shifts per Week: 5
• Shift Duration: 8 hours
• Weekly Estimated Pay: $1,960 – $2,330
• Employment Type: Full-Time
• Assignment Length: 52 weeks
• Start Date: May 8, 2026

Qualifications — CDI / Documentation Requirements

• Minimum 5 years of CDI experience with a strong focus on second-level reviews, clinical validation, and inpatient case complexity
• Current CCDS or CDIP certification (required)
• Proven hands-on experience with SmarterDx (required)
• Advanced knowledge of ICD-10-CM/PCS coding, MS-DRG methodology, SOI/ROM capture, and reimbursement drivers
• Expertise in clinical validation, compliant query development, and AHIMA/ACDIS query standards
• Familiarity with CMS guidelines and AHA Coding Clinic interpretations
• Strong collaboration skills with CDI, coding, and physician teams; excellent critical thinking and attention to detail

Responsibilities — Clinical Documentation Improvement (CDI)

• Perform second-level CDI reviews to validate accuracy of first-level reviews, ICD-10 coding alignment, and MS-DRG assignment
• Conduct clinical validation reviews to ensure diagnoses and procedures are supported by appropriate clinical indicators and documentation
• Identify documentation gaps and issue high-quality, compliant provider queries consistent with AHIMA/ACDIS standards
• Utilize SmarterDx to prioritize cases, analyze documentation opportunities, and support CDI workflow efficiency
• Collaborate with coding teams to resolve discrepancies, support accurate DRG assignment, and protect reimbursement integrity
• Provide feedback, coaching, and education to first-level CDI staff to improve documentation quality and consistency
• Support denial prevention and retrospective review initiatives through proactive documentation validation
• Maintain audit-level review quality in a detail-oriented environment and ensure compliance with organizational policies

Why Cambridge, MA? Work in a vibrant center of academic and medical excellence with easy access to Boston. Cambridge offers diverse dining, historic neighborhoods, strong public transit, and a thriving healthcare and research ecosystem — making it an attractive location for CDI specialists and other healthcare professionals.

Apply now: If you are an experienced Clinical Documentation Integrity Specialist (CDI) with CCDS or CDIP certification and SmarterDx experience, join our healthcare team today. Submit your resume and certifications to be considered for this Cambridge, MA CDI opportunity.

Equal opportunity employer. We welcome candidates who are committed to documentation excellence and interdisciplinary collaboration in inpatient clinical settings.

Benefits

401K with Matching, Healthcare, Dental and Vision

Equal Opportunity

We are an equal opportunity employer and value diversity across our organization. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.