Registered Nurse (RN) - Clinical Documentation Specialist (Remote)

Clinicalexpertisemeets analytical precision in a role that directly shapes how patient care is captured, understood, and valued across the health system. As a Clinical Documentation Specialist, you bring a seasoned nursing perspective into a high-impact environment where your insight ensures the integrity, accuracy, and completeness of the clinical story.

This fully remote opportunity is ideal for experienced registered nurses with at least three years of recent clinical practice, a strong acute care background, anddemonstratedexpertisein Clinical Documentation Integrity (CDI). Designed for nurses ready to transition from direct patient care into a more analytical and collaborative role, this position offers the opportunity toleverageyour clinical knowledge to improve documentation quality, support interdisciplinary teams, and drive positive patient outcomes. If you enjoy critical thinking, problem-solving, and continuous professional growth, this role offers a rewarding next step in your nursing career.

The Role

In this role, you willleverageboth your clinical background and CDIexpertiseto evaluate complex inpatient records and ensure documentation accurately reflects patient acuity and care delivery. This is a highly collaborative yet independent position, requiring strong clinical judgment without direct patient interaction.

This roleoperateswithin a flexible 6:00 AM to 6:00 PMESTwork window , allowing autonomy in structuring your day whilemaintainingstrong collaboration with the broader team.

You will be most successful in this role if you bring:

• Strong acute care hospital experience , particularly in adult inpatient settings, along with experience working as a Clinical Documentation Specialist

• The ability to transition from bedside care to analytical review , applying clinical judgment in a non-direct care environment

• Advanced critical thinking skills and comfort working independently in a remote setting

• Confidence engaging physicians and influencing documentation practices

On a typical day, you will:

• Review inpatient medical records for accuracy, completeness, and compliance

• Identify documentation gaps, inconsistencies, and opportunities for clarification

• Issue physician queries to resolve unclear or incomplete documentation

• Partner with interdisciplinary teams, including:

• Physicians and advanced practice providers

• Coding professionals

• Quality teams and service lines

• Specialty teams such as wound care and nutrition

• Supportaccuratecoding prior to discharge

• Ensures the accuracy and completeness of clinical information, which is used for measuring and reporting physician and hospital outcomes

• Provide education to providers to strengthen documentation practices

• Manage a steady caseload >/= 15 new cases per day , along with follow-ups and re-reviews

Why UVA Health

UVA Health offers thebest ofacademic medicine, clinical excellence, and a culture grounded in collaboration and continuous improvement. This role is central to ensuring that the complexity and quality of care delivered across the system is accurately represented and understood.

What sets this opportunity apart:

• A Strategic, High-Impact Role
  Directly influences clinical quality metrics and documentation integrity , making your work essential to both patient care and organizational success

• Fully Remote with Flexible Structure
  Work within a true remote model with the flexibility to manage your schedule whilemaintainingstrong teamconnectivity

• Ideal Transition from Bedside Nursing
  Apply your clinicalexpertisein a role that emphasizes critical thinking, analysis, and collaboration over physical demands

• Collaborative, Physician-Facing Work
  Engage meaningfully with providers and interdisciplinary teams, serving as a trusted clinical documentation partner

• Commitment to Professional Growth
  Thrive in an environment that values continuous learning , especially in a field shaped by evolving clinical and regulatory standards

• Balanced, Sustainable Workload
  Predictable case volumes and flexible scheduling support strong work-life integration , including part-time options

Why People Love Living in Charlottesville

Charlottesville offers a unique blend of professional opportunity and exceptional quality of life. Surrounded by the Blue Ridge Mountains, the area provides year-round access to outdoor recreation, from hiking and cycling to vineyards and scenic escapes. The city itself is known for its vibrant food scene, rich history, andstrong senseof community. For healthcare professionals, Charlottesville delivers a balanced lifestyle where a meaningful career at UVA Health can coexist with personal well-being, family life, and cultural enrichment.

MINIMUM REQUIREMENTS

Education: RN, graduate of accredited nursing program and Bachelor of Science in Nursing required within 5 years of hire.

Experience: A minimum of three years of experience as a Clinical Documentation Specialist is required. Clinical experience in multiple areas, particularly in the ICU, is preferred. CCDS (Certified Clinical Documentation Specialist),orCDIP (Clinical Documentation Improvement Practitioner) is preferred.

Licensure: Licensed to Practice as a Registered Nurse in the Commonwealth of Virginia.

Reference Check Process- Reference Checks will be
completed by UVA's third-party partner, SkillSurvey, during the final phase of theinterview process. Five references will be requested, with at least three responsesrequired

PHYSICAL DEMANDS
This is primarily a sedentary job involving extensive use of desktop computers. The job does occasionally require traveling some distance to attend meetings, and programs.

The pay range for this role is $67,859.00 - $135,718.00 annually. Individual compensation will be determined by the selected candidate's qualifications, previous work experience, and/or education.

Benefits

• Comprehensive Benefits Package: Medical, Dental, and Vision Insurance

• Paid Time Off, Long-term and Short-term Disability, Retirement Savings

• Health Saving Plans, and Flexible Spending Accounts

• Certification and education support

• Generous Paid Time Off

UVA Health is a world-class Magnet Recognized academic medical center and health system with a level 1 trauma center. 2023-2024 U.S. News & World Report "Best Hospitals" guide rates UVA Health University Medical Center as "High Performing" in 5 adult specialties and 14 conditions/procedures. We are one of 70 National Cancer Institute designated cancer centers. UVA Health Children's is named by 2023-2024 U.S. News & World Report as the best children's hospital in Virginia with 9 specialties ranked among the best in the nation. Our footprint also encompasses 3 community hospitals and an integrated network of primary and specialty care clinics throughout Charlottesville, Culpeper, Northern Virginia, and beyond.

The University of Virginia is an equal opportunity employer. All interested persons are encouraged to apply, including veterans and individuals with disabilities. Learn more about UVA's commitment to non-discrimination and equal opportunity employment .