MicroSourcing
Clinical Documentation Improvement Nurse… at MicroSourcing · Taguig
Job Description
Discover your 100% YOU with MicroSourcing!
Position: Clinical Documentation Improvement Nurse Specialist – IP
Location: BGC, Taguig City
Work setup & shift: Onsite, Night Shift
Why join MicroSourcing?
You'll have:
Competitive Rewards: Enjoy above-market compensation, healthcare coverage on day one, plus one or more dependents, paid time-off with cash conversion, group life insurance, and performance bonuses.
A Collaborative Spirit: Contribute to a positive and engaging work environment by participating in company-sponsored events and activities.
Work-Life Harmony: Enjoy the balance between work and life that suits you with flexible work arrangements.
Career Growth: Take advantage of opportunities for continuous learning and career advancement.
Inclusive Teamwork: Be part of a company that celebrates diversity and fosters an inclusive culture.
Your Role:
As a Clinical Documentation Improvement Nurse Specialist – IP, you will:
- Conduct concurrent and retrospective inpatient medical record reviews to ensure accurate and complete clinical documentation.
- Identify documentation gaps, inconsistencies, and conflicts affecting coding, reimbursement, quality metrics, Severity of Illness (SOI), and Risk of Mortality (ROM).
- Issue compliant physician queries following AHIMA and ACDIS guidelines and ensure timely follow-up and resolution.
- Collaborate with physicians, clinical teams, and coding teams to support accurate MS-DRG and APR-DRG assignment and ICD-10-CM/PCS coding.
- Support denial prevention by ensuring documentation accurately reflects clinical validity and medical necessity.
- Partner with Clinical Denials and Appeals teams to provide documentation clarification when payer denials occur.
- Track CDI activities, including cases reviewed, queries, physician response rates, and DRG impact.
- Prepare performance reports and provide data-driven insights on provider performance and CDI program opportunities.
- Maintain compliance with CDI standards, coding regulations, and applicable documentation requirements.
- Contribute to CDI process improvements, policies, workflows, and standard operating procedures.
What You Need:
Non-negotiables
- At least 2 years of inpatient CDI review experience.
- Minimum 2 years of acute care clinical experience in a hospital setting; ICU or Med/Surg experience strongly preferred.
- Bachelor of Science in Nursing.
- CCDS, CDIP, or CCS certification.
- Working knowledge of ICD-10-CM/PCS, MS-DRG methodology, and risk adjustment.
- Proficiency with hospital EMR systems such as Epic, Cerner, or Meditech.
- Excellent written and verbal English communication skills with at least CEFR B2 proficiency.
Preferred skills/expertise
- Master's degree or additional credential in healthcare, business, or a related field.
- active Registered Nurse license with PHRN or USRN
- Experience with CDI/coding technologies and Microsoft Office, including Excel, Word, PowerPoint, Outlook, and SharePoint.
- Strong analytical, critical-thinking, decision-making, and problem-solving skills.
- Excellent attention to detail with strong follow-up and follow-through.
- Ability to work independently, exercise sound judgment, and manage complex cases.
- Strong teamwork, integrity, professionalism, and customer service skills.
- Experience working in a matrixed healthcare environment.
About MicroSourcing
With over 9,000 professionals across 13 delivery centers, MicroSourcing is the pioneer and largest offshore provider of managed services in the Philippines.
Our commitment to 100% YOU
MicroSourcing firmly believes that our company's strength lies in our people's diversity and talent. We are proud to foster an inclusive culture that embraces individuals of all races, genders, ethnicities, abilities, and backgrounds. We provide space for everyone, embracing different perspectives, and making room for opportunities for each individual to thrive.
At MicroSourcing, equality is not merely a slogan – it's our commitment. Our way of life. Here, we don't just accept your unique authentic self - we celebrate it, valuing every individual's contribution to our collective success and growth. Join us in celebrating YOU and your 100%!
For more information, visit MicroSourcing.
Terms & conditions apply