Second Level Reviewer CDI
Houston Metro Area, Texas
Category: Healthcare
Reference ID: 10078538
Shortcut: http://addisongroup.gosnaphop.com/CNN76a
Job Title: Second Level Reviewer CDI
Location (city, state): Remote – Candidates must reside in TX, OK, TN, LA, AR, FL, or GA
Industry: Healthcare / Clinical Documentation Integrity (CDI)
Pay: $45 - $56.50 / hour
About Our Client:
Our client is a large healthcare system focused on delivering high-quality, efficient patient care. This role will support the development of a dedicated CDI Denials & Appeals team.
Job Description:
Seeking an experienced Second Level Reviewer CDI Specialist to perform retrospective reviews focused on DRG validation, clinical validation, denials, appeals, and compliant physician queries.
Key Responsibilities:
- Perform retrospective CDI reviews and DRG validations
- Review denials/appeals and identify clinical validation opportunities
- Review mortality cases with focus on SOI/ROM and expected mortality
- Create and follow up on compliant physician queries
- Ensure documentation supports accurate coding and compliance
- Meet productivity expectations of approximately 8–10 DRG validations per day
- Collaborate with CDI leadership and support project reporting
Qualifications:
- 3–5+ years of CDI experience
- Active CDI certification
- BSN with active Compact RN license
- Strong clinical validation, denials, and appeals experience
- Experience with mortality reviews, SOI/ROM, and expected mortality
- Strong knowledge of AHIMA/ACDIS compliant query practices
- Experience in a 500+ bed, Level 1 Trauma/Teaching Hospital
- ICU/bedside clinical experience
- Epic and 3M 360 CAC experience preferred
- Ability to work independently and quickly adapt to new workflows
Additional Details:
- 6 openings
- Remote
- Monday–Friday; standard hours 8 AM–5 PM CST
- Flexible start between 6–9 AM CST
- Approximately 1 week of project-specific training
Perks:
- Fully remote
- Flexible daily start time
- Opportunity to help build out a new CDI Denials & Appeals team
- High-level CDI project experience within a large healthcare system
| Addison Group is an Equal Opportunity Employer. Addison Group provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, gender, sexual orientation, national origin, age, disability, genetic information, marital status, amnesty, or status as a covered veteran in accordance with applicable federal, state and local laws. Addison Group complies with applicable state and local laws governing non-discrimination in employment in every location in which the company has facilities. Reasonable accommodation is available for qualified individuals with disabilities, upon request. |
#HC1
-
Denials Specialist
Houston, TX
Job Title: Denials Specialist Location: Houston, TX (Downtown) Industry: Healthcare / Revenue Cycle Management Pay: $26 - $28 / hr Job Type: Direct Hire Benefits: This position is eligible for medical, dental, vision, and 401k. About Our Client: Addiso...
Recommended
-
Hospital Collector – Denials & Appeals
Houston, TX
Job title: Hospital Collector – Denials & Appeals Location (city, state): West Houston (Hybrid schedule) Industry: Healthcare / Revenue Cycle Pay: $20-$25/hour Benefits: This position is eligible for medical, dental, vision, life insurance and 401k. Ab...
Recommended
-
Retina Billing Specialist
Southlake, TX
Role: Billing Specialist - Retina Location: Fully Remote Pay Range: $24 – $30 / hour Schedule: Monday–Friday, 8:00 AM–5:00 PM in the assigned practice's time zone Employment Type: Direct Hire Benefits: This role is eligible for medical, dental, vision ...
Recommended
-
Insurance Follow-Up Representative
Greenville, SC
Title: Insurance Follow-Up Representative Location: Greenville, SC Compensation: $17.50 – $24.50 / hour Benefits: This position may be eligible for medical, dental, vision, and 401(k) benefits, depending on individual selections and applicable work-hou...
Recommended
-
Reimbursement Specialist
Westchester, IL
Job Title: Reimbursement Specialist – Liability Industry: Healthcare / Medical Billing Location: Westchester, IL (Hybrid) Assignment Type: Direct Hire Pay: $22 – $26 / hour (up to $27/hour based on experience) Work Schedule: Full-time, Monday–Friday wi...
Recommended
-
Remote Profee Coder II
Houston Metro Area, Texas
Job Title: Remote Profee Coder II Location (city, state): Remote – Open to candidates nationwide; permanent conversion available only for Florida residents Industry: Healthcare / Professional Fee Coding Pay: $25 - $30 / hour Benefits: This role is elig...
Recommended
-
Medicaid Collections Specialist
Mesquite, TX
Position: Medicaid Collections Specialist (Hospital Revenue Cycle) Location: Remote (U.S. Remote; candidates from select states are not eligible) Pay Range: $23.00 – $26.00 / Per hour Benefits: This position is eligible for medical, dental, vision, and...
Recommended
-
Healthcare Account Associate
Bethesda, MD
Job title: Healthcare Account Associate Location: Remote | Travel to Bethesda, MD approximately 35% Industry: Healthcare / Health Insurance Claims Pay: $75,000 - $90,000 / Annually Benefits: This position is eligible for medical, dental, vision, life i...
Recommended
-
Remote Medicaid Collector
Mesquite, TX
Role: Medicaid Collections Specialist – Hospital Revenue Cycle Location: Remote Pay Range: $23.00 – $26.00 / Per hour Start Date: ASAP Benefits: This position is eligible for medical, dental, vision and 401(k). This is a long term contract role with po...
Recommended
-
Business Development Manager
Schaumburg, IL
Business Development Manager Schedule and Location: 3-4 in-office days per week, and 1-2 remote days per week This position will be based in our Schaumburg office with the option to work in the downtown Chicago office as desired, with at least 1 day pe...
Recommended
-
Medical Biller
Columbia, SC
Title: Medical Biller (Full Cycle) Location: Columbia, SC Compensation: $17.00 – $22.00 per hour Benefits: This position may be eligible for medical, dental, vision, and 401(k) benefits through Addison Group during the contract period. About the Opport...
Recommended
-
Medical Biller
Maplewood, MN
Job Title: Medical Biller Location: St. Paul, MN, must be able to work on-site Industry: Healthcare Pay Rate: $24 - $30 / Hourly Benefits: This position is eligible for medical, dental, vision, and 401(k). Job Description: We are currently hiring for a...
Recommended
-
Payroll Specialist
Irvine, CA
Payroll Analyst Location: Irvine, CA Pay: $30-$35/hr Benefits: This position is eligible for medical, dental, vision, and 401(k). Position Overview The Payroll Analyst is responsible for supporting and executing payroll operations, with a primary focus...
Recommended
-
Remote Profee Coding Auditor Educator
Texas
Job Title: Professional Coding Auditor/ Educator Location: REMOTE (preference for CST or EST) Industry: Healthcare Revenue Cycle | Professional Fee Coding | Compliance & Education Compensation: $62,400 - $87,000 / year Benefits: This role is eligible f...
Recommended
-
Medical Collector
San Antonio, TX
Position: Medical Collections Specialist (Hospital/Insurance Follow-Up) Location: Remote (Must be based in San Antonio, TX) Pay Range: $24 – $26 / Hour Schedule: Monday – Friday, 7:30 AM – 4:00 PM Benefits: This position is eligible for medical, dental...
Recommended
-
Business Development Manager
Phoenix, AZ
Are you ready to create connections that become lasting relationships? Listen, Learn and Make a match with Addison Group! Addison Group is one of the fastest growing private staffing firms in America that specializes in contract and direct hire staffin...
Recommended
-
Business Development Manager
San Antonio, TX
Are you ready to create connections that become lasting relationships? Listen, Learn and Make a match with Addison Group! Addison Group is one of the fastest growing private staffing firms in America that specializes in contract and direct hire staffin...
Recommended
-
Remote Inpatient Medical Coder
Texas
Job Title: Remote Inpatient Medical Coder Location: Remote, USA Industry: Healthcare Revenue Cycle / Health Information Management Pay: $41.00 / Per Hour (potential flexibility for highly qualified candidates) Benefits: This position is eligible for me...
Recommended
-
Human Resources Generalist
Irving, TX
Job Title: HR Generalist Industry: Healthcare Location (city, state): Irving, TX Assignment Type: Direct Hire Pay: $65,000–$68,000 annually + eligibility for annual bonus Work Schedule: Monday–Friday, 8:00 AM–5:00 PM. Hybrid schedule with 3 days onsite...
Recommended
-
Recruiter
Dallas, TX
Are you ready to create connections that become lasting relationships? Listen, Learn and Make a match with Addison Group! Addison Group is one of the fastest growing private staffing firms in America that specializes in contract and direct hire staffin...
Recommended
-
Recruiter
San Antonio, TX
Are you ready to create connections that become lasting relationships? Listen, Learn and Make a match with Addison Group! Addison Group is one of the fastest growing private staffing firms in America that specializes in contract and direct hire staffin...
Recommended
-
Recruiter
Denver, CO
Are you ready to create connections that become lasting relationships? Listen, Learn and Make a match with Addison Group! Addison Group is one of the fastest growing private staffing firms in America that specializes in contract and direct hire staffin...
Recommended
-
Technical Support Analyst
Chicago, IL
Technical Support Analyst Industry: Information Technology / Education & Healthcare Location: Chicago, IL Work Schedule: Onsite 5x a week Assignment Type: 6-Month Contract-to-Hire Pay: $21/hr - $25/hr W2 Start Date: ASAP About the Opportunity Our clien...
Recommended
-
Data Engineer
Oklahoma City, OK
Job Title: Data Engineer Industry: Energy / Utilities Location (city, state): Oklahoma City, OK Assignment Type: Contract Pay: $50.00 - $65.00 / hour depending on experience Work Schedule: Monday–Friday, standard business hours. Remote candidates will ...
Recommended
-
Docketing Specialist – Litigation
Phoenix, AZ
Job Title: Docketing Specialist – Litigation Location (city, state): Remote (U.S. – Must have experience in CA, AZ, CO, or WA jurisdictions) Compensation: $28 - $37 / hour (flexibility for highly qualified candidates) Benefits: This position is eligibl...
Recommended
-
Business Development Manager
Washington, DC
Addison Group is one of the fastest growing private staffing firms in America that specializes in contract and direct hire staffing, as well as consulting services. We have made “Best of Staffing” lists for multiple years and continue to enjoy many acc...
Recommended
-
Business Development Manager
Schaumburg, IL
Addison Group is one of the fastest growing private staffing firms in America that specializes in contract and direct hire staffing, as well as consulting services. We have made “Best of Staffing” lists for multiple years and continue to enjoy many acc...
Recommended
-
Business Development Manager
Chicago, IL
Addison Group is one of the fastest growing private staffing firms in America that specializes in contract and direct hire staffing, as well as consulting services. We have made “Best of Staffing” lists for multiple years and continue to enjoy many acc...
Recommended
-
Direct Hire Consultant
Chicago, IL
Addison Group is one of the fastest growing private staffing firms in America that specializes in contract and direct hire staffing, as well as consulting services. We have made “Best of Staffing” lists for multiple years and continue to enjoy many acc...
Recommended
-
Direct Hire Consultant
Chicago, IL
Addison Group is one of the fastest growing private staffing firms in America that specializes in contract and direct hire staffing, as well as consulting services. We have made “Best of Staffing” lists for multiple years and continue to enjoy many acc...
Recommended