The Clinical Documentation Improvement (CDI) Specialist – Professional Billing supports accurate, compliant professional fee billing through focused review and improvement of provider documentation. This role partners closely with physicians, advanced practice providers (APPs), professional coders, and revenue cycle stakeholders to ensure documentation fully supports CPT, HCPCS, ICD 10 CM codes, modifier usage, and medical necessity.
The CDI Specialist serves as a documentation and coding subject matter expert, emphasizing education, collaboration, and prevention of downstream denials or compliance risk, rather than claim production volume.
