Second Level Review (SLR) CDI Specialist - USA Applicants Only

Job Title: Second Level Review (SLR) CDI Specialist

Location (city, state): Remote

Industry: Healthcare / Clinical Documentation Integrity

Pay: $40 - $56.50/ hour (W2)

Benefits: This position is eligible for medical, dental, vision, and 401(k). 

About Our Client:

Our client is a leading healthcare organization committed to delivering high-quality, efficient patient care while creating exceptional experiences for both patients and employees. They foster a collaborative and supportive environment where clinical professionals can contribute to improving outcomes and advancing community health initiatives.

Job Description:

We are seeking an experienced Retrospective CDI Specialist to support a Vizient improvement initiative. This contract-only role focuses on retrospective DRG validation, compliant query generation, and clinical documentation accuracy. The ideal candidate will have strong CDI expertise, be comfortable working independently in a high-volume environment, and demonstrate proficiency in clinical validation and denial prevention.

Key Responsibilities:

• Perform retrospective CDI reviews with a focus on DRG validation
• Review accounts assigned through work queues by CDI leadership
• Validate DRGs to ensure accurate coding and documentation compliance
• Compose, edit, send, and follow up on physician queries using compliant templates
• Ensure adherence to AHIMA/ACDIS query guidelines
• Collaborate with leadership to support accurate reporting and project outcomes
• Meet productivity expectations (8–10 DRG validations per day, subject to change)

Qualifications:

• Active CDI certification required
• Active RN license (BSN required; Compact RN license required)
• 3–5 years of CDI experience
• 1–2+ years of Second Level Review (SLR) experience
• Strong experience with clinical validation denials and appeal support
• Hands-on experience with Vizient metrics and outlier analysis
• Experience reviewing mortality cases with strong SOI/ROM knowledge
• Prior CDI contract experience preferred
• Experience in large acute care settings (500+ beds, Level 1 Trauma/Teaching Hospital, ICU exposure)
• Strong understanding of compliant query practices
• Ability to quickly adapt and work independently

Additional Details:

• Systems: EPIC, 3M 360 CAC
• Openings: 5
• Schedule: Monday–Friday, flexible start time between 6am–9am CST (8-hour shift)
• Contract: Minimum 6 months, likely extension based on project performance
• Training: ~1 week (project-specific workflow)
• Start Date: ASAP
• Fully Remote

Interview Process:

• Resume submission to hiring leadership
• Clinical assessment (10 scenarios, ~1 hour)
• Final interview with CDI leadership
• Offer

Perks:

• Fully remote opportunity
• Flexible daily start time
• High-impact project with a leading healthcare system
• Opportunity for contract extension based on performance
• Competitive hourly pay 

Addison Group is an Equal Opportunity Employer. Addison Group provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, gender, sexual orientation, national origin, age, disability, genetic information, marital status, amnesty, or status as a covered veteran in accordance with applicable federal, state and local laws. Addison Group complies with applicable state and local laws governing non-discrimination in employment in every location in which the company has facilities. Reasonable accommodation is available for qualified individuals with disabilities, upon request.

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