Clinical Documentation Specialist

Ascension • Indianapolis, IN

1d • $79,512 - $110,835 • Remote

About The Position

Ascension is a leading nonprofit Catholic health system with a culture and associate experience grounded in service, growth, care and connection. We empower our 99,000+ 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.

Requirements

• Certified Coding Specialist (CCS) credentialed from the American Health Information Management Association (AHIMA) obtained prior to hire date or job transfer date.
• Certified Professional Coder (CPC) credentialed from the American Academy of Professional Coders (AAPC) obtained prior to hire date or job transfer date.
• Clinical Documentation Prof. credentialed from the Association of Clinical Documentation Improvement Specialists obtained prior to hire date or job transfer date.
• Registered Nurse credentialed from the Indiana Board of Nursing obtained prior to hire date or job transfer date.
• Reg Health Info Admnstr credentialed from the American Health Information Management Association (AHIMA) obtained prior to hire date or job transfer date.
• Reg Health Info Tech credentialed from the American Health Information Management Association (AHIMA) obtained prior to hire date or job transfer date.
• High School diploma equivalency with 2 years of cumulative experience OR Associate's degree/Bachelor's degree OR 4 years of applicable cumulative job specific experience required.

Nice To Haves

• Active Clinical Credential: Current Registered Nurse (RN)
• CDI Certification: Certified Clinical Documentation Specialist (CCDS) or Certified Documentation Improvement Practitioner (CDIP).
• Acute Care Experience: Minimum of 2–3 years of clinical experience in an inpatient acute care setting.

Responsibilities

• Optimize medical record integrity to ensure documentation accurately reflects the patient’s severity of illness and the high-quality care provided.
• Drive clinical clarity by initiating proactive, collaborative discussions with physicians and mid-level providers to resolve documentation gaps prior to patient discharge.
• Manage accurate diagnostic tracking by performing comprehensive admission reviews and entering precise working diagnoses into the tracking system to secure appropriate reimbursement.
• Validate clinical documentation outcomes by maintaining meticulous records of review activities, ensuring all reporting data is accurate, compliant, and impactful.

Benefits

• 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

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: High school or GED