CDI Risk Adjustment Nurse

United StatesRemoteFull Timemid

HealthcareNurse

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Quick Summary

Overview

As a CDI Risk Adjustment Nurse, you will provide clinical documentation and risk adjustment review for Tendo's QDI Services customers,

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HealthcareNurse

As a CDI Risk Adjustment Nurse, you will provide clinical documentation and risk adjustment review for Tendo's QDI Services customers, working in real time with physicians and advanced practice providers to ensure documentation accurately reflects patient acuity and quality of care. Success in this role depends on deep clinical expertise in acute-care documentation, risk adjustment methodology, and the ability to translate complex clinical detail into clear, compliant provider queries.

You will manage a daily assigned review queue, identify clinically supported documentation opportunities, and communicate directly with physicians and APPs on documentation and quality risk adjustment gaps. You will work closely with the Director of QDI Services and fellow reviewers on quality calibration, and support provider education initiatives across Tendo's customer portfolio.

Your work will directly shape the accuracy, quality, and financial integrity of our customers' clinical documentation.

Tendo has hubs in San Francisco, CA; Salt Lake City, UT; Chicago, IL; Nashville, TN; and Philadelphia, PA. Candidates may be located in any one of our hub locations.
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Conduct QDI review of assigned inpatient cases, identifying clinically supported documentation opportunities in real time.

Develop and follow up on compliant, physician-facing documentation queries.

Communicate directly with physicians and APPs regarding documentation and quality risk adjustment opportunities.

Manage and prioritize an assigned daily review queue to meet turnaround expectations.

Participate in provider education activities related to clinical documentation, risk adjustment, and quality outcomes.

Contribute to reviewer calibration and quality assurance activities.

Support customer-specific workflows and initiatives as new health system partners onboard.

6+ years of CDI/QDI experience.

6+ years of acute-care nursing experience.

Active RN license, in good standing.

CCDS certification.

Epic experience.

Working knowledge of HCCs, Elixhauser comorbidities, and quality risk adjustment methodology.

Direct experience communicating and educating physicians and APPs on documentation opportunities.

Must be able to work independently and manage a queue with minimal oversight.

Excellent written and verbal communication skills.

$90,000 - $110,000

This salary range is offered with the understanding that final compensation is based on a number of factors including geography and experience. Tendo also offers an equity package, annual bonuses, and benefits.

What We Offer

~1 min read

For full time employees, Tendo also offers full health benefits (medical, dental, and vision), flexible spending and health savings accounts, company paid life insurance, company paid short-term and long-term disability, company equity, voluntary benefits, 401(k), company paid holidays, flexible time off, and an employee wellness program (“Breathe”).

Tendo is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, sex, sexual orientation, gender identity or expression, religion, national origin or ancestry, age, disability, marital status, pregnancy, protected veteran status, protected genetic information, political affiliation, or any other characteristics protected by local laws, regulations, or ordinances.