CDI Specialist

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).