Clinical Documentation Improvement Specialist
RemoteUnited States
United StatesRemoteFull TimeStartup
Full TimeStartup
Job Summary
Review clinical documentation for completeness, accuracy, and consistency to identify gaps affecting coding, claims, or reimbursement. Conduct provider queries to clarify records and collaborate with coders and medical teams to improve documentation quality. Track recurring issues, communicate trends internally, and provide education on documentation requirements and payer policies. Maintain accurate records of all CDI activities, queries, and outcomes while supporting compliance and audit standards. This fully remote role requires a HIPAA-compliant workspace and strong analytical skills to manage multiple cases independently.
Required Qualifications
- 2+ years of experience in clinical documentation improvement, medical coding, clinical documentation review, or a related healthcare role
- Strong understanding of clinical documentation, medical terminology, and coding principles
- Experience reviewing medical records and identifying documentation gaps
- Ability to communicate effectively with physicians, providers, coders, and other healthcare professionals
- Strong knowledge of documentation requirements and their impact on coding and reimbursement
- Excellent attention to detail and analytical skills
- Ability to manage multiple cases and priorities while meeting quality and productivity expectations
- Ability to work independently and effectively in a fully remote environment
- HIPAA-compliant private workspace
Desired Qualifications
- RN, RHIA, RHIT, CCS, or CPC certification
- Experience with inpatient or outpatient CDI
- Knowledge of ICD-10-CM, CPT, and HCC coding
- Experience with Epic, Athena, eClinicalWorks, or another major EMR system
- Experience supporting provider education, coding audits, or payer audits
Hiring someone like this?
Get your role in front of qualified candidates on Sorce.