CDI Specialist

Medasource

Sacramento, CA

Job Title: Clinical Documentation Specialist (CDS)

Hourly/Salary Compensation Range: 60-70/hr based on experience and education

Location:

Fully remote - candidates must reside in:
AZ, AR, CA, CO, FL, GA, ID, IL, LA, MI, MN, MO, MT, NV, NJ, NC, OH, OR, PA, SC, TN, TX, UT, VA, WA

Hours: Full-time, remote (standard business hours - 8-5 PST)

Start Date: 7/20/26

Client Overview:

Healthcare organization requiring experienced CDS professionals to support accurate documentation, DRG assignment, and compliance with CMS guidelines in a remote environment. [Fill in client-specific branding/summary if allowed.]

Job Description:

Perform concurrent medical record reviews to ensure documentation accurately reflects patient severity and services provided.
Work with physicians and healthcare professionals to clarify and improve documentation through queries and education.
Ensure documentation supports MS-DRG assignment and aligns with CMS compliance regulations .
Participate in quality-based and mortality-related reviews as needed.
Utilize risk adjustment tools to support accurate capture of patient risk and outcomes.
Collaborate effectively with remote team members and attend virtual meetings/education sessions.

Skill Set Requirements:

2-3+ years of Clinical Documentation Specialist/CDI experience.
Strong understanding of MS-DRG , coding concepts, and CMS documentation standards.
Experience with concurrent reviews and provider queries.
Strong written and verbal communication and ability to educate/partner with providers.
Comfortable working fully remote with reliable technology and self-management skills.
Experience with quality-based reviews, mortality reviews, and risk adjustment tools (preferred).

Education/Certifications/License(s):

IMG with medical degree (MD/MBBS or equivalent)
OR
Registered Nurse (RN) with active license in the US.
CCDS or CCDIP certification required (current).

Apply

Vacancy posted 2 days ago

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