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 | Day

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.
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'

    degree/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 Certified
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.

Responsibilities
  • 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.
Qualifications

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'

    degree/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.
Vacancy posted 2 days ago
Similar jobs that could be interesting for youBased on the Lead Clinical Documentation Specialist in United States vacancy
  •  ...Clinical Documentation SpecialistThe Clinical Documentation Specialist will work with Senior Director in physician education regarding documentation that meets severity of illness/intensity of service guidelines. The CDS will work with hospital top DRG's to insure that... 
    Suggested

    BronxCare Health System

    Bronx, NY
    2 days ago
  •  ...NursingWork ExperienceRequired - 3 years clinical experience in an acute care setting including experience in Clinical Documentation Improvement. Advanced clinical expertise...  ...LicensePreferred - Certified Clinical Documentation Specialist (CCDS) or Certified Documentation... 
    Suggested

    Ochsner Health

    New Orleans, LA
    1 day ago
  • Ochsner Health in Louisiana is seeking an experienced Registered Nurse for a clinical documentation-focused role. You will review medical records at admission and during stay, ensuring accuracy and compliance with the Clinical Documentation Program. The role requires state... 
    Suggested

    Ochsner Health

    Louisiana, MO
    2 days 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... 
    Suggested
    Remote job

    Mindlance

    Chicago, IL
    6 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... 
    Suggested
    For contractors
    Work experience placement
    Work at office
    Relocation

    Tohono O'odham Nation Healthcare

    Tucson, AZ
    12 days 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
  • A leading healthcare provider is seeking a Sr. Certified Coder in New Brunswick, NJ. This role involves assigning diagnosis and procedure...  ...years of inpatient coding experience and a Certified Coding Specialist (CCS) credential. The organization offers a robust benefits... 

    Saint Peter's Healthcare System

    New Brunswick, NJ
    5 days ago
  • Ensemble Health Partners is seeking a remote Forensic Coder with expert knowledge in front and back end coding to analyze trends and educate teams. The role focuses on root cause analysis, education, and process improvements across client services with frequent collaboration...
    Remote job

    Ensemble Health Partners

    Brooklyn, NY
    3 days ago
  • TriHealth is a leading, mission-driven health system focused on supporting coding professionals...  ...and collaboration. As Lead Coding Specialist, you will guide coding staff,...  ...professional growth, and delivering high-quality documentation to strengthen patient care and... 

    Socket.dev

    Cincinnati, OH
    3 days ago
  • Santa Barbara Cottage Hospital is seeking a Clinical Documentation Specialist (CDS) to improve the accuracy of patient records and ensure codes reflect...  ...regulatory changes, reporting CDI metrics, and leading education initiatives to enhance documentation practices... 

    Santa Barbara Cottage Hospital

    New York, NY
    6 days ago
  • $22 - $24 per hour

     ...Lead Mental Health Clinical Assistant Milton, New Hampshire, United States About Altior Healthcare Our family of services comprises three distinct mental health treatment programs, including a specialized program for US Veterans. With over 15 unique locations,... 
    Local area

    The Ridge RTC

    Milton, NH
    2 days ago
  •  ...includes experience of working in Laboratory, physician office or clinic. Preferred: 1. Medical terminology experience. 2. Experience in...  .... Headquarters in Morristown, New Jersey, we are one of the leading non-profit health care systems in the nation. Our facilities and... 
    Full time
    Temporary work
    Part time
    Work at office
    Flexible hours

    Atlantic Health System

    Summit, NJ
    2 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
  • 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
  • $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
  •  ...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
  • Baptist Health in LaGrange, KY is seeking a Clinical Staff Pharmacist II for day shifts. You will ensure safe, effective medication therapy, support centralized and decentralized medication use systems, and provide drug information to clinicians and patients. Responsibilities... 
    Day shift

    Baptist Health

    Brooklyn, NY
    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
    5 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
  • Wayne Memorial Hospital Honesdale, PA is seeking a full-time hospital coder to evaluate medical records, assign ICD-10 and CPT codes for inpatient and outpatient services, and ensure high accuracy per AHIMA guidelines. The role involves acting as a liaison between clinicians...
    Full time

    Wayne Memorial Hospital Honesdale, Pa

    Honesdale, PA
    3 days ago
  •  ...75-200 hours per week across 8-10 clients and supervise RBTs/BTs in line with BACB requirements. The position emphasizes hands-on clinical work, data-driven treatment, and progress reporting. A strong BCBA certification and licensure are required, with experience handling... 
    Full time
    Work at office

    Momentum Behavior Services

    Hermosa Beach, CA
    2 days ago
  •  ...accuracy of the clinician’s documentation, coding requirements and documentation...  ...quality and completeness of clinical documentation of the patient...  ...Clinical Documentation Specialist (CCDS) or Certified...  ...deficiencies to the department lead for more information to resolve... 
    Work experience placement

    Adventist Health

    Los Angeles, CA
    1 day ago
  •  ...Assists with ensuring accurate and complete documentation in the medical record to support...  ...Health Information Management, or related clinical field or equivalent combination of...  ...RequiredCertified Clinical Documentation Specialist (CCDS) or Certified Documentation Improvement... 
    Work experience placement

    Adventist Health

    Roseville, CA
    3 days 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 Integrity Specialist - (CDIS) is responsible for providing CDI program... 
    Minimum wage
    Full time
    Work experience placement
    Work at office
    Local area
    Remote work
    Weekend work
    3 days per week

    UnitedHealth Group

    Las Vegas, NV
    2 days ago
  • $80k

     ...Benefits   Career Advancement   The Base Salary for this role is $80,000 The CDI Specialist facilitates and obtains appropriate physician documentation for any patient clinical condition or procedure to support the appropriate severity of illness, expected risk of... 

    Ensemble Health Partners

    Putnam, CT
    1 day 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
    6 days ago
  • Location: Richmond, Virginia, United StatesCompany: UHSPosted: 2026-08-11UHS seeks a HIM Supervisor for the Atlantic Region Central Billing Office to oversee the medical records imaging system and the imaging area staff, ensuring accuracy, timeliness, and data integrity...
    Work at office

    Universal Health Services

    Richmond, VA
    1 day ago
  • Position Summary: The Lead First Line Supervisor works to achieve operational targets and standards by directing hourly employees to complete tasks that have a direct impact on overall results within assigned job area(s).Duties and Responsibilities:· Ensure assigned tasks... 
    Hourly pay
    Work at office
    Shift work
    Rotating shift

    AdvanSix

    Hopewell, VA
    2 days ago
  •  ...StatesCompany: Viant MedicalPosted: 2026-08-14Viant Medical in the Brimfield, MA area is seeking a hands-on Tool Room Supervisor to lead tooling operations in medical device manufacturing. You will oversee mold maintenance, repair, tooling projects, and equipment reliability... 

    Viant Medical

    Brimfield, MA
    2 days ago
  • $93.5k

     ...licensed foster care and therapeutic foster care, case management, clinical and behavioral health services, and wraparound supports. Our...  ...supportive, child-centered environment. The Opportunity The Lead Medical Coordinator oversees all health services for children in... 
    Full time
    Work at office

    FAMILY SERVICES OF AMERICA CORPORATION

    Fayetteville, NC
    5 days ago

Do you want to receive more vacancies?

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