Clinical Documentation Improvement Specialist (Remote), Day Shift, Clinical Documentation

Adventist HealthCare

1d • $77,314 - $115,981 • Remote

About The Position

Adventist HealthCare is seeking a Clinical Documentation Specialist to support its mission of extending God’s care through physical, mental, and spiritual healing. This remote, full-time role works a day shift, Monday through Friday, for 40 hours per week, with no weekend requirements. The position is classified as exempt under the Fair Labor Standards Act.

The specialist reviews inpatient medical records for accurate, complete documentation that reflects patients’ clinical status. The role identifies documentation gaps or inconsistencies, requests provider clarification when needed, and helps ensure documentation supports appropriate coding, reimbursement, regulatory compliance, and quality reporting. The specialist partners with physicians, clinical staff, and coding and revenue cycle teams; provides education on documentation practices; tracks documentation metrics; and supports internal and external audits and quality improvement initiatives.

The salary range is $77,313.60–$115,980.80. Adventist HealthCare offers medical, prescription, dental, and vision coverage effective on the date of hire; employer-paid short- and long-term disability, basic life insurance, and AD&D; paid time off; retirement contributions and a match after one year of eligible employment, with a three-year vesting period; voluntary benefits; subsidized childcare at participating centers; tuition reimbursement; and Employee Assistance Program support. Other stated offerings include work-life balance through nonrotating shifts, professional recognition and rewards, and free employee parking.

Requirements

• One of the following qualifications: Doctor of Medicine (MD), Doctor of Osteopathy (DO), Foreign Medical Graduate (FMG), Registered Nurse (RN), Pharmacist, Doctor of Physical Therapy, RHIA, RHIT, or a related clinical/allied health degree.
• Minimum of 5 years of inpatient clinical experience.
• At least 2 years of clinical documentation, coding, case management, utilization review, or acute-care clinical experience.
• Experience interpreting physician documentation, laboratory results, imaging, and clinical indicators.
• CCDS (Certified Clinical Documentation Specialist), CDIP (Clinical Documentation Improvement Practitioner), or equivalent certification required, or to be obtained within 90 days.

Nice To Haves

• Experience with ICD-10-CM/PCS, DRGs, SOI/ROM, or HCC.
• Lean Six Sigma Green Belt.
• Solventum360 experience.
• Certified Documentation Expert Inpatient (CDEI) certification.
• Certified Coding Specialist (CCS) certification.

Responsibilities

• Examine medical records to ensure documentation is accurate, complete, and reflective of the patient’s clinical status.
• Identify inconsistencies, ambiguities, or missing information that may affect coding, compliance, or patient care, and request provider clarifications as needed.
• Verify that clinical documentation supports appropriate ICD-10-CM/PCS and CPT coding for reimbursement, collaborating with coding and revenue cycle teams.
• Ensure documentation and provider queries align with CMS guidelines, regulatory standards, and organizational policies.
• Build relationships with physicians and clinical staff and share insights, trends, and education to improve documentation practices.
• Support quality improvement initiatives by ensuring accurate documentation related to MHACs, PPCs, PSIs, SOI/ROM, and mortality.
• Track and report documentation-quality metrics, including query response rates and documentation accuracy.
• Educate physicians and clinical staff on documentation best practices and standards.
• Assist with internal and external audits by ensuring proper documentation and addressing identified issues.
• Maintain and enhance medical, coding, and CDI knowledge through continuing education.

Benefits

• Medical, prescription, dental, and vision coverage for employees and eligible dependents effective on the date of hire.
• Employer-paid short- and long-term disability, basic life insurance, and AD&D; short-term disability buy-up available.
• Paid Time Off.
• Employer retirement contribution and match after one year of eligible employment, with a three-year vesting period.
• Voluntary benefits, including flexible spending accounts, legal plans, and life, pet, auto, home, long-term care, and critical illness and accident insurance.
• Subsidized childcare at participating childcare centers.
• Tuition reimbursement.
• Employee Assistance Program support.
• Work-life balance through nonrotating shifts.
• Recognition and rewards for professional expertise.
• Free employee parking.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: No Education Listed