Senior Analyst - CDI

Summary

Senior Analyst – Concurrent CDI & Query Process Job Summary

The Senior Analyst serves as a subject matter expert (SME) in Clinical Documentation Improvement and physician query compliance. This role performs advanced concurrent reviews, drives quality and regulatory compliance initiatives, and mentors junior team members while ensuring documentation accuracy and integrity.

Key Responsibilities

• Perform high-complexity concurrent inpatient chart reviews (ICU, sepsis, cardiac, surgical cases, etc.).
• Lead compliant physician query processes aligned with AHIMA/ACDIS guidelines.
• Analyze trends impacting documentation integrity.
• Mentor and provide guidance to Analysts and Associates.
• Partner with Revenue Cycle, Coding, and Utilization Management teams.
  
  

• 6–10 years of relevant US healthcare experience (CDI, coding, utilization management, clinical audit, or claims adjudication ).
• Graduate in life sciences, preferred: Pharmacy, MBBS, BAMS, BHMS, BDS and B.Sc. Nursing
• Advanced knowledge of ICD-10-CM/PCS and DRG methodologies.
• Strong understanding of CMS regulations and payer compliance requirements.
• Demonstrated mentoring experience.
• CCDS, CDIP, CCS certification preferred.