Indiana University Health Medical Group is seeking a Clinical Documentation Integrity (CDI) Physician Adviser. This position will serve as a clinical leader in documentation integrity, coding accuracy, and quality improvement. Collaborates with providers, CDI specialists, coders, and other healthcare professionals to ensure medical records accurately reflect severity of illness, risk of mortality, and resource utilization. Conducts chart reviews (concurrent and retrospective) to identify documentation gaps and provides peer education on MS-DRG, APR-DRG, HCC, and ICD-10 coding. Leads physician query processes and supports compliant documentation. Acts as liaison between providers and CDI teams. Supports quality improvement initiatives related to PSI, HAC, LOS, and mortality metrics. Ensures compliance with regulations and payer requirements. Delivers targeted education on documentation best practices and regulatory updates. Promotes physician accountability through data-driven feedback and performance reporting. Analyzes documentation trends and leads corrective actions. Champions CDI efforts across IU Health.
This position is supplemental. The summary below is not exhaustive; additional duties may be assigned to support IU Health’s mission.
Essential Functions:
- Connect to Promise: Aligns with IU Health’s mission to improve health for all Hoosiers, practicing values of purpose, excellence, compassion, and teamwork.
- Clinical Practice: Performs diagnostic evaluations and direct patient care. Develops and adjusts treatment plans based on patient goals and progress. Educates patients and families to support care and discharge planning.
- Critical Thinking: Applies curiosity and insight to decision-making. Integrates diverse information sources to solve problems and improve practices.
- Analysis: Evaluates problems and opportunities using stakeholder input and data. Identifies root causes and synthesizes information to develop optimal solutions.
- Business Acumen: Understands departmental structure and aligns work with operational goals.
- Collaboration: Coordinates with team members, shares best practices, and mentors others.
- Relationship Building: Builds rapport and trust, delivers excellent customer service, and supports internal and external networking.
Qualifications:
- 5–7 years of relevant experience.
- Medical Degree with board certification and Indiana licensure.
- Inpatient clinical experience in acute care hospital settings.
- Proficiency in EHR and clinical informatics.
- Preferred: Experience in CDI, utilization management, or physician advising.
- Preferred: Knowledge of ICD-10, MS-DRG, HCC coding systems, quality metrics (Vizient, USNWR), and healthcare finance.
Indianapolis, Indiana, the 17th largest U.S. city, is a sophisticated city blending charm and culture with a wonderful balance of business and leisure.Residents of this dynamic city enjoy:
- Leading educational system and top-ranked universities, paired with a diverse population
- Vibrant downtown offering arts, theaters, world-class museums, zoo, concerts and memorials
- Named to U.S. News & World Report's 2023-2024 list of the best places to live in the United States
- Top ranked international airport:"Best Airport in North America" twelve consecutive years
- Ranked by Niche in 2023 as one of the most diverse counties in America, as well as one of the best cities to live in and buy a house in the country
- Historic neighborhoods with surrounding cultural districts and low cost of living
- Outdoor recreation includes golfing, boating and unique parks
- Home of the Colts (NFL), Fever (WNBA), Pacers (NBA), Indians (MiLB), Indianapolis 500 (IndyCar) and the nation's largest half marathon
- Close proximity to Chicago, St. Louis, Louisville, and Cincinnati
