CDI Specialist RN Ld in Phoenix, Arizona at Valleywise Health System

Under general direction from the CDI Supervisor and Manager, the CDI Specialist RN Ld provides advanced clinical documentation integrity (CDI) expertise and serves as a functional lead for inpatient CDI practice at Valleywise Health. This role supports CDI staff education, mentorship, and competency development to ensure consistent application of clinical validation standards, regulatory requirements, and compliant documentation practices. A key responsibility includes advanced review of DRG downgrades and audit activity (including RAC reviews), providing clinical insight to support appeal determination and development. Findings and trends are translated into targeted education, quality improvement initiatives, and workflow enhancements. The CDI RN Lead partners closely with CDI leadership, Physician Advisors, coding, quality, compliance, and revenue cycle stakeholders to strengthen documentation accuracy, reduce reimbursement risk, and support high-quality, compliant patient care documentation.