CDI Specialist
About the job
- An associate or bachelor's degree in nursing, Health Information Management, or a related healthcare field is required.
- A current unencumbered RN license in the state of practice is required for candidates with a nursing background.
- At least 3 years of clinical experience in acute care is required.
- At least 2 years of CDI experience with concurrent record review and physician querying is required.
- Adequate vision, hearing, and repetitive hand/wrist motions are required.
- Ability to move about the facility for physician rounding and training sessions is required.
- Conduct concurrent and/or retrospective medical record reviews to assess documentation accuracy, completeness, and specificity.
- Identify documentation opportunities to clarify diagnoses, procedures, complications, comorbidities, and clinical indicators.
- Ensure documentation supports medical necessity and accurate MS-DRG/APR-DRG assignment.
- Serve as a technical expert in health record content and documentation requirements within the EHR.
- Initiate compliant, non-leading queries to physicians and providers to obtain clarification of diagnoses and procedures.
- Collaborate with coders to ensure discharge diagnoses accurately capture clinical status and care delivered.
- Educate providers on documentation best practices, coding guidelines, and regulatory requirements.
- Foster positive working relationships with medical staff to support documentation improvement initiatives.
- Ensure documentation complies with CMS, AHIMA, ACDIS, and other regulatory standards.
- Monitor and support quality metrics, including case mix index (CMI), hospital-acquired conditions (HACs), PSI indicators, and value-based purchasing measures.
- Maintain audit-ready documentation practices.
- Develop and update documentation policies in alignment with CIHQ accreditation standards.
- Track and report key CDI metrics such as query response rate, agreement rate, CMI trends, and financial impact.
- Participate in internal audits and performance improvement initiatives.
- Identify trends and recommend workflow or educational improvements.
- Provide ongoing education to providers and staff regarding documentation guidelines and regulatory updates.
- Support denial management by providing clinical justifications for appealed claims.
- Perform other duties as assigned.
- Review medical records at a desk using a computer and work in an indoor clinical or office setting.
- RN, RHIA, RHIT, CCS, CCDS, CDIP, or another relevant certification is preferred, or may be required within a specified timeframe.
- Experience in ER, ICU, med-surg, or case management is preferred.
- CCDS (ACDIS) or CDIP (AHIMA) certification is preferred.
- Additional coding credentials such as CCS, CPC, or CIC are a plus.
About the company
Exceptional Healthcare operates a network of community hospitals in underserved and rural areas, delivering emergency, trauma, and inpatient care. Its facilities provide a 24/7 emergency department, private single-occupancy inpatient rooms, on-site laboratories, and full radiology services (CT, X-ray, ultrasound). The company builds and runs these hospitals in smaller communities to offer accessible, high-quality medical services with short ER wait times, supported by in-network insurance acceptance and adherence to the Federal No Surprises Act for emergency services. Revenue comes from providing these medical services. Led by Saeed Mahboubi as part of a family-owned organization, Exceptional Healthcare is expanding its footprint with new hospitals in multiple states and plans for continued growth in additional states, aiming to reach more rural populations and improve access to comprehensive emergency and inpatient care.
Company Size
N/A
Company Stage
N/A
Total Funding
N/A
Headquarters
Dallas, Texas
Founded
2016
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Simplify's Take
What believers are saying
- Farmington opened February 18, 2026, proving demand for rural emergency access.
- Ardmore opened June 3, 2025, and generated early local impact.
- The August 2026 locations page lists Rapid City and Stillwater, signaling growth.
What critics are saying
- South Dakota, North Dakota, and Oklahoma openings rely on execution before 2027.
- Farmington’s $25 million build shows capital intensity that strains a small operator.
- Medicare and Medicaid dependence exposes margins if reimbursement cuts hit 2026.
What makes Exceptional Healthcare unique
- Saeed Mahboubi’s family-owned build-and-operate model targets rural hospitals since 2014.
- Farmington opened February 18, 2026, extending the Arizona-Texas-Oklahoma-New Mexico network.
- Each site bundles 24/7 emergency, imaging, lab, pharmacy, and inpatient rooms.
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Benefits
- Health Insurance
- Dental Insurance
- Vision Insurance
- Life Insurance
- 401(k) Company Match
- Tuition Reimbursement
- Wellness Program