Remote Clinical Documentation Specialist

Remote Clinical Documentation Specialist

Position Duties – Responsible for ensuring the accuracy, completeness, and compliance of clinical documentation within the patient health record to support quality patient care, accurate coding, appropriate reimbursement, and adherence to all regulatory requirements. This position serves as a liaison between clinical, coding, and quality teams to improve documentation that reflects the true clinical picture and severity of illness, while ensuring compliance with CMS, state, and facility guidelines.

Minimum Required Qualifications –

• Minimum of 3–5 years in clinical practice preferably CCU/ ICU, inpatient coding, or CDI role.
• Proven experience with ICD-10-CM/PCS coding, DRG assignment, and query processes. Familiarity with CMS Inpatient Prospective Payment System (IPPS), risk adjustment methodologies, and value-based purchasing programs.
• RN, BSN, or foreign medical graduate (FMG) with strong clinical background; OR RHIA/RHIT/CCS credentialed HIM professional with significant inpatient coding experience.
• One or more of the following: Certified Clinical Documentation Specialist (CCDS) – ACDIS, Certified Documentation Improvement Practitioner (CDIP) – AHIMA, Certified Coding Specialist (CCS) – AHIMA

Preferred Qualifications – Bachelor's or Master's degree in Nursing, HIM, or related healthcare field.

Length of Assignment – 1 year

Shift / Hours Per Week – 8a-5p / 40hrs

Systems – MedHost

Start Date – 6/22/2026