Clinical Documentation Specialist
Inpatient Clinical Documentation Integrity Specialist (ICDIS) – Remote
Location: 100% Remote (Candidates can work from anywhere within the U.S.)
Schedule: Sunday – Thursday
Hours: 40 hours/week + overtime as needed
Contract Length: 30 Weeks
Guaranteed Hours: 40/week
We are seeking an experienced Inpatient Clinical Documentation Integrity Specialist (ICDIS) to join a remote healthcare documentation and compliance team. The ideal candidate will have strong inpatient CDI experience, concurrent medical record review expertise, and advanced knowledge of ICD coding, disease processes, and regulatory compliance.
Responsibilities:
Perform concurrent and retrospective reviews of inpatient medical records to identify documentation improvement opportunities
Ensure documentation accurately reflects severity of illness, risk of mortality, medical necessity, co-morbidities, and complexity of care
Validate coding accuracy and support compliant coding and billing practices
Collaborate with physicians, coding teams, nursing, case management, and allied healthcare staff to clarify documentation gaps
Facilitate compliant physician queries and documentation modifications
Apply federal/state regulations, coding guidelines, and payer-specific documentation requirements
Educate providers and healthcare staff on clinical documentation integrity standards and best practices
Support quality improvement initiatives and documentation compliance efforts
Maintain productivity and quality standards while working independently in a remote environment
Requirements :
Minimum 2 years of experience in an Inpatient Clinical Documentation Integrity Specialist (ICDIS) role
Minimum 12 months of current production experience
Experience with concurrent review of medical records and ICD coding
Strong analytical thinking, problem solving, and critical thinking skills
Excellent written and verbal communication skills
Ability to work independently with minimal supervision
Required Certifications/Credentials (one or more required):
CDIP or CCDS
RHIT or RHIA
RN or RRT
CCS or CCS-P
International or Domestic Medical Degree
Education :
High School Diploma or GED required
Preferred Skills:
Knowledge of disease processes/pathophysiology
Knowledge of medications/pharmacology
Regulatory compliance experience
Strong collaboration and communication abilities
About Pride Health- Pride Health offers eligible employee’s comprehensive healthcare coverage (medical, dental, and vision plans), supplemental coverage (accident insurance, critical illness insurance and hospital indemnity), 401(k)-retirement savings, life & disability insurance, an employee assistance program, legal support, auto, home insurance, pet insurance, and employee discounts with preferred vendors
Equal Employment Opportunity
Pride Health is an equal opportunity employer. We do not discriminate on the basis of the race, religious creed, color, national origin, ancestry, physical disability, mental disability, reproductive health decision making, medical condition, genetic information, marital status, sex, gender, gender identity, gender expression, age, sexual orientation, veteran or military status, or any other characteristic protected by applicable federal, state, or local law.
Fair Chance Employment
Pride Health is a Fair Chance employer. We consider all qualified applicants, including those with criminal histories, in a manner consistent with applicable state and local Fair Chance laws and ordinances, including the California Fair Chance Act and all applicable local Fair Chance ordinances.
Accommodations
We are committed to providing reasonable accommodations to applicants and employees with disabilities. If you require a reasonable accommodation to participate in the application or interview process, or to perform the essential functions of this role, please contact us.