Clinical Documentation Specialist (CDI) – Remote
Location: Fully Remote (U.S.)
Employment Type: Full-Time | W2 Contract
Compensation: $45–55/hr (DOE)
Position Length: 6 Months with Conversion
We are seeking experienced Clinical Documentation Specialists (CDI) to join a nationally recognized healthcare organization supporting inpatient documentation integrity initiatives. This is an excellent opportunity for seasoned CDI professionals looking to work remotely while partnering with physicians, coding teams, and clinical leadership to improve documentation quality, coding accuracy, and patient outcomes.
Responsibilities
- Perform concurrent reviews of inpatient medical records to identify documentation improvement opportunities.
- Review medical records within 24–48 hours of admission and conduct follow-up reviews throughout the patient's stay.
- Formulate compliant physician queries to clarify missing, conflicting, or incomplete documentation.
- Support accurate MS-DRG assignment, Severity of Illness (SOI), and Risk of Mortality (ROM).
- Collaborate with providers, coding professionals, quality teams, and case management to improve documentation quality.
- Perform DRG reconciliation and assist with documentation improvement initiatives.
- Maintain current knowledge of ICD-10-CM/PCS coding guidelines, Coding Clinic guidance, and compliant query practices.
Required Qualifications
RN Candidates
- Active RN license (Compact or Single-State)
- CCDS or CDIP certification
- 5+ years of recent acute care inpatient Clinical Documentation Integrity experience
OR
Coding Candidates
- Active CCS or RHIT certification
- CCDS or CDIP certification (required)
- 5+ years of recent inpatient Clinical Documentation Integrity (CDI) experience
Preferred Experience
- Large Academic Medical Centers
- Teaching Hospitals
- Level I Trauma Centers
- Concurrent inpatient CDI
- Provider query experience
- Clinical validation reviews
- SOI/ROM optimization
- PSI exclusion experience
Preferred Systems
- Epic
- Solventum (3M)
- Optum eCAC
- Cerner
- Meditech
Schedule
This position supports facilities across multiple time zones. Candidates must be available to work a full-time schedule within assigned facility hours.
Why Apply?
- Fully remote opportunity
- Competitive hourly compensation
- National healthcare organization
- Collaborative CDI team
- Opportunity to work with complex inpatient cases
- Strong potential for long-term employment
If you have a passion for improving clinical documentation quality and possess a strong inpatient CDI background, we'd love to speak with you.
Pay: $45.00 - $55.00 per hour
Benefits:
- Dental insurance
- Health insurance
- Vision insurance
Application Question(s):
- Do you have an active RN license OR an active CCS or RHIT certification?
- Do you currently hold a CCDS or CDIP certification?
- How many years of recent acute care inpatient Clinical Documentation Integrity (CDI) experience do you have?
- Have you worked in a large academic medical center or teaching hospital? (List them)
- Which EMR and encoder systems have you used? (Select all that apply)
Epic
Solventum (3M)
Optum eCAC
Cerner
Meditech
Other
- What is your desired hourly pay rate?
- Are you legally authorized to work in the United States without current or future visa sponsorship?
Work Location: Remote
