Top 62 Remote clinical documentation specialist Jobs in Texas

RN, Clinical Review Specialist/DRG and Medical Necessity Appeals (FT/REMOTE)
CorroHealth Inc —Texas
- 8 hour shift
- Remote
- RN License
- Mid-level
- 4 years
- Paid holidays
- Disability insurance
Quick Apply
2d
Clinical Documentation Specialist
Singing River Health System —Austin, TX
- Weekends as needed
- Remote
- Nursing
- Microsoft Outlook
- RN License
Quick Apply
Clinical Documentation Integrity Auditor
Ascension —Waco, TX
- $96,208.99 - $134,109.89 a year
- Full-time
- Hybrid work
- Mid-level
- High school diploma or GED
- Associate's degree
- Disability insurance
- Health insurance
10d
RN Clinical Documentation Integrity Audit and Education
Ascension —Austin, TX
- $96,208.99 - $134,109.89 a year
- Full-time
- Hybrid work
- RN License
- Mid-level
- High school diploma or GED
- Disability insurance
- Health insurance
Outpatient Coding Specialist I - (PRN) Remote
Citizens Medical Center —Victoria, TX
- PRN
- Remote
- Mid-level
- High school diploma or GED
- Home Health
REMOTE** Hospitalist Profee Coding Specialist
CorroHealth Inc —Texas
- 8 hour shift
- Remote
- Microsoft Outlook
- Surgery
- Addiction Medicine
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Inpatient Coding Specialist - Pediatrics | Remote Texas | $10,000 Sign-On Bonus
Cook Children's Health Care System —Fort Worth, TX
- Full-time
- Surgery
- Mid-level
- High school diploma or GED
Quick Apply
Patient Collections Specialist
Retina Consultants of America —Southlake, TX
- Full-time
- Hybrid work
- Background check
- Microsoft Excel
- Microsoft Outlook
Quick Apply
Inpatient Coding Compliance Auditor (Remote)
Memorial Hermann Health System —Houston, TX
- Full-time
- Remote
- Mid-level
- High school diploma or GED
- 4 years
Medical Billing Specialist - Women's Health
Inception Ferility Corporate Services —Houston, TX
- Full-time
- Remote
- Medical office experience
- Mid-level
- High school diploma or GED
- Continuing education credits
- Paid parental leave
Quick Apply
11d
Payor Credentialing Specialist (remote)
Behavioral Health Group —Dallas, TX
- Remote
- Microsoft Outlook
- Computer literacy
- Research
Quick Apply
8d
Coding Training Coordinator
MD Anderson —Houston, TX
- $77,500 - $116,500 a year
- Full-time
- Remote
- HIPAA
- Mid-level
- Continuous improvement
- AD&D insurance
- Paid holidays
CERTIFIED OUTPATIENT MEDICAL CODER -- FULLY REMOTE
LTSi - Laredo Technical Services, Inc. —San Antonio, TX
- Urgently hiring
- Remote
- Anatomy knowledge
- Research
- Mid-level
- Paid holidays
- Disability insurance
Quick Apply
CDI Specialist, RN/BSN, CCDS (FT/REMOTE) (CDI experience req'd)
CorroHealth Inc —Texas
- 8 hour shift
- Remote
- Nursing
- RN License
- Mid-level
- Paid holidays
- Disability insurance
Quick Apply
Coder II (Inpatient) - Full Time - Remote
Texas Health Resources —Arlington, TX
- Email
- Remote
- Writing skills
- Mid-level
- High school diploma or GED
- Paid parental leave
- Loan repayment program
9d
Licensing and Credentialing Specialist
Oshi Health —Houston, TX
- $65,000 - $75,000 a year
- Email
- Remote
- Google Workspace
- Mid-level
- 3 years
- Paid holidays
- Health insurance
Quick Apply
10d
Business Operations Specialist, CDI (Remote)
CorroHealth Inc —Texas
- 8 hour shift
- Remote
- Microsoft Word
- Mid-level
- 3 years
Quick Apply
9d
Senior Clinical Coding Specialist - OR Surgery
MD Anderson —Houston, TX
- $67,000 - $100,000 a year
- Full-time
- Remote
- Surgery
- 5 years
- HIPAA
- AD&D insurance
- Paid holidays
Health System Specialist
US Military Treatment Facilities under DHA —Fort Sam Houston, TX
- $62,629 - $81,423 a year
- Part-time
- Hybrid work
- Heavy lifting
- Pass drug screening
- Mid-level
- Loan repayment program
- Life insurance
5d
HCC Coding Quality Specialist (Auditor)
Virtix Health LLC —Texas
- 8 hour shift
- Remote
- Mid-level
- 2 years
- Communication skills
- Paid holidays
- Health insurance
Quick Apply

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RN, Clinical Review Specialist/DRG and Medical Necessity Appeals (FT/REMOTE)

CorroHealth Inc -
Texas

Quick Apply

Job Details

Full-time
2 days ago

Benefits

Paid holidays
Disability insurance
Health insurance
Tuition reimbursement
Paid time off
Parental leave
Vision insurance
401(k) matching
Life insurance

Qualifications

RN License
Clinical information systems
Clinical documentation
Hospital experience
Nursing

Full Job Description

About Us:

Our purpose is to help clients exceed their financial health goals. Across the reimbursement cycle, our scalable solutions and clinical expertise help solve programmatic needs. Enabling our teams with leading technology allows analytics to guide our solutions and keeps us accountable achieving goals.

We build long-term careers by investing in YOU. We seek to create an environment that cultivates your professional development and personal growth, as we believe your success is our success.

JOB SUMMARY:

This is Remote Position

ESSENTIAL DUTIES AND RESPONSIBILITIES:
Note: The essential duties and responsibilities below are intended to describe the general duties and responsibilities of this position and are not intended to be an exhaustive statement of duties. This position may perform all or most of the primary duties listed below. Specific tasks, responsibilities or competencies may be documented in the Team Member’s performance objectives as outlined by the Team Member’s immediate Leadership Team Member.

This is a REMOTE position within US ONLY

Permanent Work Status Required

Required: Active, unrestricted RN license (compact preferred)

Required Schedule: Monday - Friday, 8:00 - 5:00 PM

Position Summary

The Clinical Review Specialist provides clinical review support on a full -time basis to assist with an increase in inventory and client demand. This role is responsible for reviewing medical records for medical necessity, level of care, authorization compliance, and payer guideline alignment across inpatient and outpatient services. The position supports timely appeal submissions and inventory management while maintaining quality and compliance standards.

Key Responsibilities

Prepare and submit high-quality appeals related to DRG downgrades and clinical validation denials, ensuring alignment with regulatory guidelines, coding standards, and clinical documentation best practices.
Perform clinical reviews for medical necessity, level of care, and authorization-related denials
Review inpatient and outpatient medical records to support appeal submissions
Apply payer-specific guidelines (CMS, Medicaid, commercial) and internal policies
Identify documentation gaps and support clear, defensible clinical narratives
Meet assigned turnaround times while maintaining quality standards
Document review findings accurately in designated systems
Collaborate with clinical leadership as needed for escalations or complex cases

Required Qualifications

Active, unrestricted RN license (compact preferred)
Minimum 4–5 years of clinical experience
4+ years of DRG, Utilization Review, Appeals, or Clinical Review experience
Strong knowledge of medical necessity criteria and payer guidelines
Experience reviewing inpatient and/or outpatient hospital claims
Proficiency with EMRs and review platforms (Epic preferred)
Strong written clinical documentation and time management skills

Preferred Qualifications

DRG downgrades and clinical validation denials
Experience with payer appeals (medical necessity, no-auth, readmissions)
Familiarity with InterQual, MCG, or payer-specific criteria
Prior remote clinical review experience
Multi-client or vendor-side experience
Knowledge of Medicare, Medicaid, and commercial payer processes

Work Expectations

Remote, independent work with defined productivity expectations

Performance Expectations

Timely completion of assigned reviews
Accurate application of clinical criteria and payer policy
Clear, compliant documentation
Ability to adapt to changing inventory and priorities

We Offer:

Quality of life with a remote predictable, full-time schedule
Competitive Salary commensurate to experience
Medical, Dental, Vision coverage and more
Long-term disability insurance, and life insurance
Ample parental leave
401K with company match
Certification and Tuition Reimbursement
Holidays, paid time off

PHYSICAL DEMANDS:
Note: Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions as described. Regular eye-hand coordination and manual dexterity is required to operate office equipment. The ability to perform work at a computer terminal for 6-8 hours a day and function in an environment with constant interruptions is required. At times, Team Members are subject to sitting for prolonged periods. Infrequently, Team Member must be able to lift and move material weighing up to 20 lbs. Team Member may experience elevated levels of stress during periods of increased activity and with work entailing multiple deadlines.
A job description is only intended as a guideline and is only part of the Team Member’s function. The company has reviewed this job description to ensure that the essential functions and basic duties have been included. It is not intended to be construed as an exhaustive list of all functions, responsibilities, skills and abilities. Additional functions and requirements may be assigned by supervisors as deemed appropriate.

Quick Apply

Refine Your Search

remote clinical documentation specialist jobs in texas

RN, Clinical Review Specialist/DRG and Medical Necessity Appeals (FT/REMOTE)

Clinical Documentation Specialist

Clinical Documentation Integrity Auditor

RN Clinical Documentation Integrity Audit and Education

Outpatient Coding Specialist I - (PRN) Remote

REMOTE** Hospitalist Profee Coding Specialist

Inpatient Coding Specialist - Pediatrics | Remote Texas | $10,000 Sign-On Bonus

Patient Collections Specialist

Inpatient Coding Compliance Auditor (Remote)

Medical Billing Specialist - Women's Health

Payor Credentialing Specialist (remote)

Coding Training Coordinator

CERTIFIED OUTPATIENT MEDICAL CODER -- FULLY REMOTE

CDI Specialist, RN/BSN, CCDS (FT/REMOTE) (CDI experience req'd)

Coder II (Inpatient) - Full Time - Remote

Licensing and Credentialing Specialist

Business Operations Specialist, CDI (Remote)

Senior Clinical Coding Specialist - OR Surgery

Health System Specialist

HCC Coding Quality Specialist (Auditor)

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