Inpatient Rehab Documentation Coordinator

About the role

The Clinical Documentation Improvement (CDI) Specialist for Inpatient Rehabilitation ensures that medical records accurately reflect patient complexity and resource use, linking clinical care, compliance, and reimbursement. Reporting to the Rehab Quality/PPS Manager, the role also serves as the RN representative on weekly Interdisciplinary Team (IDT) conferences.

Key responsibilities

• Maintain accurate documentation of patient status, ensuring alignment with IRF-PAI requirements.
• Conduct clinical interviews and review records to verify complexity and resource utilization.
• Lead discussions with physicians, therapists, and case managers during IDT meetings.

Required profile

• Active Registered Nurse (RN) license.
• Minimum 3 years of clinical experience in an Inpatient Rehab Facility (IRF) or acute‑care setting.
• Proficiency in ICD‑10‑CM coding and Section GG functional scoring.
• Strong communication skills to confidently lead multidisciplinary discussions.
• High attention to detail with ability to spot clinical inconsistencies.

Required skills

• ICD‑10‑CM coding
• Section GG functional scoring