Clinical Documentation Integrity Leader at Mercor

CDI Leader | $84/hr | Worldwide Remote

Mercor is partnering with a leading AI research lab to recruit experienced Clinical Documentation Integrity (CDI) managers and leaders. In this role, you will evaluate and inform AI tools designed to enhance clinical documentation accuracy, coding integrity workflows, and revenue cycle management — directly shaping the future of healthcare AI.

Key Responsibilities

• Lead CDI programs for inpatient and/or outpatient settings, overseeing concurrent and retrospective review workflows.
• Evaluate AI-generated clinical documentation suggestions, physician queries, and coding recommendations for accuracy and compliance.
• Conduct and review clinical documentation to ensure accurate capture of diagnoses, procedures, severity of illness, and risk of mortality.
• Develop and manage physician query processes in alignment with AHIMA and ACDIS guidelines.
• Monitor CDI KPIs including query response rates, CC/MCC capture rates, case mix index, and DRG accuracy.
• Collaborate with coding, compliance, and clinical teams to address documentation gaps.
• Educate physicians and clinical staff on documentation requirements and best practices.
• Ensure compliance with Official Coding Guidelines, CMS regulations, and payer-specific requirements.
• Annotate AI outputs and provide structured clinical feedback to support AI training datasets.

Requirements

• 5+ years of experience in clinical documentation integrity or improvement, with at least 2 years in a leadership role.
• Deep knowledge of MS-DRG methodology, CC/MCC hierarchies, and ICD-10-CM/PCS coding guidelines.
• Expertise in physician query management per AHIMA and ACDIS compliant standards.
• Strong clinical background with the ability to interpret medical records and documentation.
• Proficiency with CDI platforms (3M, Nuance, Optum360, or equivalent) and EHR systems.
• Exceptional written and verbal English communication skills.
• High attention to detail and ability to critically evaluate AI-generated clinical outputs.
• Comfortable working independently in a fully remote environment.

Preferred Qualifications

• CCDS or CDIP credential strongly preferred.
• Experience with HCC risk adjustment and outpatient CDI programs.
• Background as an RN, RHIA, CCS, or similar clinical/coding credential holder.
• Familiarity with AI-assisted CDI tools such as Nuance DAX or 3M M*Modal.
• Experience presenting CDI performance metrics to clinical and executive leadership.

Why Join?

• Contribute to the development of frontier AI systems in healthcare.
• Collaborate with a world-class AI research organization.
• Gain exposure to cutting-edge AI workflows in clinical documentation and revenue cycle management.
• Work on high-impact projects shaping the future of healthcare AI.