Sign up to access all features of our service.
  • Job search
  • Favorites
  • Create a CV
    New
  • Salaries
  • Subscriptions

Lead Clinical Documentation Specialist

$96.21k - $134.11k

Ascension

Your future role at a glance

Location: Remote

Department: Clinical Documentation Integrity

Schedule: Full-Time | Days

Salary: $96,208.99-$134,109.89 per year

#LI-remote

Life at Ascension: Where purpose meets opportunity

Ascension is a leading nonprofit Catholic health system with a culture and associate experience grounded in service, growth, care and connection. We empower our 97,000+ associates to bring their skills and expertise every day to reimagining healthcare, together. Recognized as one of the Best 150+ Places to Work in Healthcare and a Military-Friendly Gold Employer, you’ll find an inclusive and supportive environment where your contributions truly matter.

Benefits that help you thrive

  • Comprehensive health coverage: medical, dental, vision, prescription coverage and HSA/FSA options

  • Financial security & retirement: employer-matched 403(b), planning and hardship resources, disability and life insurance

  • Time to recharge: pro-rated paid time off (PTO) and holidays

  • Career growth: Ascension-paid tuition (Vocare), reimbursement, ongoing professional development and online learning

  • Emotional well-being: Employee Assistance Program, counseling and peer support, spiritual care and stress management resources

  • Family support: parental leave, adoption assistance and family benefits

  • Other benefits: optional legal and pet insurance, transportation savings and more

How you’ll make an impact in this role

  • The Lead Clinical Document Specialist (CDS) – Rapid Response serves as a high-level clinical documentation integrity expert, deployed to address urgent, complex, or high-impact issues across the CDI program. This role supports strategic initiatives, facilitates rapid-cycle audits, and investigates documentation and coding anomalies in real-time. The Rapid Response Lead works collaboratively across departments to drive accurate documentation, coding integrity, and risk adjustment capture, while supporting training, compliance, and data-driven decision-making.

  • Serve as the primary resource for urgent CDI issues (e.g., payer denials, audits, DRG validation). Address immediate system needs (e.g., high denial rates, quality issues, new coding rules).

  • Mentor front-line CDSs on complex cases, query framing, and escalation. Analyze documentation and coding data for trends and improvement.

  • Lead and ensure compliance of strategic CDI initiatives across markets/systems. Evaluate strategic results and recommend implementation pathways.

  • CCDS Certification is required for this position.

What minimum requirements you’ll need

Licensure / Certification / Registration:

Required Credential(s):

  • Clinical Documentation Prof. credentialed from the Association of Clinical Documentation Improvement Specialists obtained prior to hire date or job transfer date.

Education:

  • High School diploma equivalency with 2 years of cumulative experience OR Associate'sdegree/Bachelor's degree with 1 year of experience OR 5 years of applicable cumulative job specific experience required. 2 years of leadership or management experience preferred.

What additional preferences we're seeking

  • Lead experience

  • Project Management experience

  • CCDS Certification is required

Equal employment opportunity employer

Ascension provides Equal Employment Opportunities (EEO) to all associates and applicants for employment without regard to race, color, religion, sex/gender, sexual orientation, gender identity or expression, pregnancy, childbirth, and related medical conditions, lactation, breastfeeding, national origin, citizenship, age, disability, genetic information, veteran status, marital status, all as defined by applicable law, and any other legally protected status or characteristic in accordance with applicable federal, state and local laws. For further information, view the EEO Know Your Rights (English) ( poster or EEO Know Your Rights (Spanish) ( poster.

Fraud prevention notice

Prospective applicants should be vigilant against fraudulent job offers and interview requests. Scammers may use sophisticated tactics to impersonate Ascension employees. To ensure your safety, please remember: Ascension will never ask for payment or to provide banking or financial information as part of the job application or hiring process. Our legitimate email communications will always come from an @ascension.org email address; do not trust other domains, and an official offer will only be extended to candidates who have completed a job application through our authorized applicant tracking system.

E-Verify statement

Employer participates in the Electronic Employment Verification Program. Please click here ( for more information.

Vacancy posted 2 days ago
Similar jobs that could be interesting for youBased on the Lead Clinical Documentation Specialist in United States vacancy
  •  ...POSITION SUMMARY: Following established policies, procedures, and professional guidelines, the Lead Clinical Documentation Specialist coordinates the prioritization and oversees the day-to-day workflow of the CDS staff and provides clinical documentation improvement... 
    Suggested

    Signature Healthcare

    Brockton, MA
    3 days ago
  • Lead Clinical Documentation Integrity Specialist (Hybrid, Bakersfield, CA) Job Description Located in the metropolitan area of Sacramento, the Adventist Health corporate headquarters have been based in Roseville, California, for more than 40 years. In 2019, we unveiled... 
    Suggested

    Adventist Health Northwest Heart Center

    Roseville, CA
    2 days ago
  • $16.28 - $21.58 per hour

     ...Summary: The Lead Clinical Assistant is primarily responsible for helping ensure a great patient experience by preparing the patient...  ...process to patients, administer each test, and accurately document the results in EMR. # After exam, transition the patient to... 
    Suggested
    Hourly pay
    Full time
    Work at office
    Local area
    Immediate start
    Remote work
    Flexible hours
    Night shift

    Visionworks

    Tucker, GA
    1 day ago
  •  ...Fidelity Partners seeks an Inpatient/Outpatient MRT Coder Lead for the VA Northeast Ohio Healthcare System in Cleveland. The role involves coding across inpatient, outpatient, professional, and surgical services while guiding the coding team and coordinating workflows... 
    Suggested
    Local area
    Remote work

    Fidelity Partners

    Cleveland, TX
    4 days ago
  •  ...Adventist Health is seeking a Lead Certified Coder for remote work in the acute inpatient setting. This role involves reviewing patient records for accurate coding in line with established guidelines, particularly focusing on ICD-10-CM and PCS codes. The successful candidate... 
    Suggested
    Remote work

    Adventist Health

    New York, NY
    1 day ago
  •  ...commercial teams to ensure compliance with regulations. This role requires an advanced scientific degree and 3-5 years of experience in clinical, scientific, or related fields. Responsibilities include overseeing congress planning and managing various medical materials. Join... 
    Remote job

    Mindlance

    Chicago, IL
    1 day ago
  • $27.24 - $38.14 per hour

     ...problems that require a high level of expertise and knowledge of clinical coding, charge capture, charge entry, and systems....  ...Registered Health Information Technician) RHIT or Certified Coding Specialist (CCS) preferred Certified Professional Coder (CPC) from American... 
    Hourly pay
    Full time
    Work at office
    Local area
    Remote work
    Shift work

    University of Rochester

    Albany, NY
    3 days ago
  • $41 - $46 per hour

     ...Inpatient, Outpatient, Ambulatory Surgery, Lead & Supervisor (VA Contract) Remote (U...  ...All coding positions Review provider documentation for completeness and accuracy; assign...  ...coding guidelines, NCCI edits, AHA Coding Clinic, CPT Assistant, and VHA HIM Coding... 
    Daily paid
    Full time
    Contract work
    Local area
    Remote work
    Monday to Friday

    Allmed Staffing Inc

    Cleveland, OH
    5 days ago
  •  ...Xavier Health Center.Position Summary:The Lead Medical Coder serves as a certified...  ...; peer reviews; and serves as a medical documentation and coding technical expert to TONHC providers...  ...Classification of Diseases/Clinical Modification), and HCPCS (Healthcare Common... 
    For contractors
    Work experience placement
    Work at office
    Relocation

    Tohono O'odham Nation Healthcare

    Tucson, AZ
    14 days ago
  • DaMar Staffing is seeking a Medical Coding Specialist to perform dictionary coding using MedDRA...  ...ensuring accuracy and timeliness. You will lead and mentor Coding Specialists, create training materials, and liaise with Clinical Data Managers and clients to address... 

    DaMar Staffing

    Raleigh, NC
    3 days ago
  • $38.28 per hour

    Inpatient/Outpatient MRT Coder Lead VA Northeast Ohio Healthcare System - Cleveland, Ohio This Position Is Contingent Upon Bid...  ...updates. Resolve or coordinate denials, rejections, claim edits, documentation issues, and audit findings. Support the coding supervisor and... 
    Hourly pay
    Full time
    For contractors
    Local area
    Remote work
    Monday to Friday

    Fidelity Partners

    Cleveland, TX
    4 days ago
  • A healthcare staffing firm is looking for a Remote Inpatient Medical Coder & Inpatient Team Lead to join their mission-driven team. The role involves reviewing complex inpatient medical records, ensuring accurate coding, and leading a team. Candidates should have a minimum... 
    Remote job

    Medix™

    New York, NY
    1 day ago
  •  ...manage 27 Advanced Practice Providers in its complex pediatric intensive care units. The role requires supervisory skills along with clinical competencies to ensure the highest level of care. Candidates must have a Master's Degree in Nurse Practitioner studies, relevant... 

    UCLA Health

    Los Angeles, CA
    5 days ago
  •  ...Job Description Job Description Precision Concrete, LLC is now hiring a Concrete Lead Supervisor! Lead will oversee job sites and use skills to complete job by deadlines. This job includes setting up forms, installing of rebar, using trowels and other tools to... 
    Immediate start

    Precision Concrete LLC

    Sioux Falls, SD
    14 days ago
  • ProMD Medical Billing in Miami, FL is seeking a charged posting supervisor to lead a team of certified coders. You will review encounters, enforce coding guidelines, and drive efficiency across commercial, Medicaid, and Medicare submissions. Join a fast-growing company... 

    ProMD Medical Billing

    Miami, FL
    3 days ago
  • SSM Health Saint Louis University Hospital seeks a Nurse Practitioner to lead the Bone Marrow Transplant team. The role blends enhanced clinical responsibilities with administrative leadership to support cellular therapies and transplant care in a high-acuity setting. The... 
    Shift work
    Weekend work

    SSM Health

    Saint Louis, MO
    1 day ago
  • $24.65 - $30.82 per hour

     ...goals. In addition, this role focuses on performing the following Clinical Administration duties: Long-term strategic planning, determines...  ...plans. Ability to develop recommendations based on analysis and lead teams and drive to decisions. Excellent organizational skills... 
    Temporary work
    Work experience placement
    Casual work
    Work at office
    Flexible hours

    Tufts Medicine

    Brooklyn, NY
    3 days ago
  • YOU BELONG HERE Lead Coding Specialist I (CCS, CPC, RHIT) job at Johns Hopkins Medicine. Hopkins...  ...assists the Outpatient Coding Supervisor, Clinic and Outpatient with oversight of...  ...the Lead CS I analyzes and interprets documentation in the patient record to accurately... 
    Work experience placement
    Zero hours contract

    JIT Global Freight Solution P Ltd

    Hopkins, MN
    2 days ago
  •  ...Lead Medical Coder and Auditor ProSidian Consulting is looking...  ...and review health record documentation for assignment of proper diagnosis...  ...surgery, observation, ER, clinic and diagnostics in order to assure...  ...| CCS- Certified Coding Specialist and/or b) American Academy of... 
    Full time
    Contract work
    Work at office

    ProSidian Consulting

    Fort Stewart, GA
    2 days ago
  • $86.32k - $154.96k

     ...And if you could collaborate with the world’s brightest scientists, in a bench-to-bedside environment that put you on the leading edge of clinical breakthroughs for children with cancer, sickle cell, and other life-threatening diseases. It’s possible at St. Jude Children... 
    Full time
    Relief
    Work at office
    Monday to Friday
    Shift work

    St.Jude Children´s Research Hospital

    Memphis, TN
    2 days ago
  • An educational organization is seeking a Clinical Medical Assisting Instructor in St. Louis, MO. The ideal candidate should have at least...  ...school diploma. Responsibilities include preparing lectures, leading skills labs, and maintaining student records. The compensation... 

    Ohio School of Phlebotomy

    Saint Louis, MO
    5 days ago
  • $20 - $24 per hour

    A leading educational organization is looking for a Clinical Medical Assisting Instructor in St. Louis, Missouri. The role requires at least 3 years of experience in medical assisting or related fields. You'll prepare lectures, assess students, and lead hands-on labs.... 
    Hourly pay

    Ohio School of Phlebotomy

    Saint Louis, MO
    1 day ago
  •  ...simple: We listen to our participants and their caregivers to truly understand their needs and desires. Outpatient Clinical Documentation Integrity Specialist JOB SUMMARY The Outpatient Clinical Documentation Integrity (CDI) Specialist improves the accuracy,... 
    Local area
    Remote work
    Flexible hours

    BoldAge PACE

    Oceanport, NJ
    6 days ago
  • Via Care Community Health Center seeks an LVN to support clinical operations, supervise staff, and ensure quality care. The role collaborates...  ...and education for patients and staff, while ensuring timely documentation and compliance. #J-18808-Ljbffr Via Care Community Health... 

    Via Care Community Health Center

    Los Angeles, CA
    2 days ago
  •  ...Medical Records Technician Coder IV-Lead Koniag Advisory Business Solutions, LLC,...  ...healthcare mission serving hospitals and clinics. This is an opportunity to bring your expertise...  ...help ensure the integrity of clinical documentation, support compliant reimbursement, and... 
    Full time
    Contract work
    Temporary work
    Work at office
    Remote work
    Home office
    Monday to Friday
    Flexible hours

    Koniag

    Oklahoma City, OK
    23 hours ago
  •  ...supervisory functions. Promotes and advocates imaging services by remaining abreast of the latest changes in technology and equipment. The Lead Interventional Radiological Technologist ensures accreditations standards are maintained as well as performs a variety of tasks... 
    Relocation package

    Piedmont Healthcare

    Augusta, GA
    9 hours ago
  • $72.8k - $130k

     ...StatesSalary: $72,800 - $130,000/yearJob Area: Medical & Clinical OperationsCompany: UnitedHealth GroupOptum Insight is improving...  ...start Caring. Connecting. Growing together.The Clinical Document Improvement Specialist - (CDS) is responsible for providing CDI program... 
    Minimum wage
    Full time
    Work experience placement
    Local area

    UnitedHealth Group

    Honolulu, HI
    9 hours ago
  •  ...vice presidents of finance; from HR Business Partners to export specialists - create braggingly happy customers spanning national accounts,...  ...48750 Position Summary: This role is responsible to lead the day-to-day activities of the department operations in a retail... 
    Full time
    Immediate start
    Visa sponsorship
    Work visa

    SpartanNash Associates, LLC

    Oscoda, MI
    a month ago
  •  ...finance; from HR Business Partners to export specialists — create braggingly happy customers...  ...This role is responsible to assist in leading the day-to-day activities of the department...  ...read, write, comprehend, and interpret documents Basic mathematical skills Suggestive... 
    Full time
    Immediate start
    Visa sponsorship
    Work visa
    Shift work

    SpartanNash Associates, LLC

    Grand Rapids, MI
    22 days ago
  •  ...vice presidents of finance; from HR Business Partners to export specialists — create braggingly happy customers spanning national accounts,...  ...49464  Position Summary: This role is responsible to lead the day-to-day activities of the department operations in a retail... 
    Full time
    Visa sponsorship
    Work visa

    SpartanNash Associates, LLC

    Zeeland, MI
    a month ago

Do you want to receive more vacancies?

Subscribe and receive similar vacancies to Lead Clinical Documentation Specialist. Be the first to apply!