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).