Senior Clinical Documentation Specialist

🕒 August 19

🇺🇸 United States – Remote

💵 $87.5k - $121.9k / year

⏰ Full Time

🟠 Senior

🏥📝 Medical Writer

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Ascension

WebsiteLinkedInAll Job Openings

10,000+ employees

🏥 Healthcare

🤝 Non-profit

💰 $500M Debt on 2019-11

Healthcare • Non-profit

Ascension is a U. S. -based healthcare organization that connects patients to care across the communities it serves. The company operates hospitals and specialized care sites in multiple states (e. g. , Florida, Illinois, Indiana, Kansas), highlights location-based search for care, and promotes compassionate, community-focused services.

📋 Description

• Provide cross-coverage and high-level CDI support across Ascension’s multi-market system • Cover temporary staffing gaps due to PTO, medical leave, vacancies, and fluctuating census • Function as an advanced front-line Clinical Documentation Specialist • Manage high-complexity cases • Lead key initiatives • Serve as a subject matter expert and mentor within CDI departments across markets • Apply CDI practices and coding guidelines to facilitate complete and accurate medical record documentation • Collaborate with providers • Adapt to varied facility workflows, EHRs, and service lines with minimal training • Support new CDS onboarding, short-term training, and regional initiatives when not deployed for coverage • Maintain high-quality standards and continuity of CDI operations

🎯 Requirements

• Clinical Documentation Prof. credentialed from the Association of Clinical Documentation Improvement Specialists 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 with 1 year of experience OR 5 years of applicable cumulative job specific experience • 3+ years of clinical documentation, coding, DRG, and strong CDI standards • Proven adaptability to various hospital systems and workflows • Expertise in SOI/ROM, MCC/CC, mortality reviews, and quality indicator alignment (PSI, HAC) • Strong time management, independence, and problem-solving skills • Proficient with multiple CDI tools (CDE One, Cerner preferred) and remote platforms • Active Registered Nurse (RN) license required • CCDS certified required • Strong technical skills in navigation of multiple EHRs • Ability to quickly acclimate to local workflows, EHRs (Epic, Cerner), and CDI software (3M, Iodine, Nuance) • 2 years of leadership or management experience preferred

🏖️ Benefits

• Paid time off (PTO) • Various health insurance options & wellness plans • Retirement benefits including employer match plans • Long-term & short-term disability • Employee assistance programs (EAP) • Parental leave & adoption assistance • Tuition reimbursement • Ways to give back to your community • Inclusive and supportive work environment • Military-Friendly Gold Employer