Remote Clinical Documentation Specialist (CDI)

Make an Impact from Anywhere

This is your opportunity to shape patient care quality without setting foot in a hospital. As a Remote Clinical Documentation Specialist (CDI), you will work behind the scenes yet at the heart of patient outcomes. Through meticulous chart review and advanced knowledge of clinical guidelines, you ensure medical records reflect the true complexity of care.

With a salary of $81,742 annually and the flexibility to work from anywhere, this position is crafted for experienced professionals seeking purpose-driven, detail-oriented remote work.

🔍 What You'll Do

Core Responsibilities

• Review inpatient and outpatient medical records to ensure accurate and complete clinical documentation
• Collaborate with physicians and clinical teams to clarify ambiguities and enhance coding precision
• Analyze patient charts to identify missing, conflicting, or unclear documentation
• Ensure alignment between documented diagnoses and clinical indicators
• Apply knowledge of DRG optimization and clinical validation to support proper reimbursement
• Work with ICD-10-CM, MS-DRG, APR-DRG, and other classification systems
• Participate in quality assurance audits to uphold documentation standards
• Report findings and trends to CDI leadership for system-wide improvement

How You’ll Make a Difference

• Improve clinical data integrity across healthcare settings
• Support risk adjustment and severity of illness accuracy
• Help reduce claim denials and enhance hospital compliance
• Strengthen the link between clinical treatment and documentation

🌐 Work Environment

This role is entirely remote. Whether in a quiet home office or a digital nomad workspace, you’ll be seamlessly connected to your healthcare documentation team. You’ll interact daily with healthcare providers, coding teams, and compliance auditors—all via secure digital platforms.

Team Collaboration

• Communicate with physicians and clinicians via secure messaging, video conferencing, and EMR platforms
• Join weekly virtual case review meetings
• Engage in continuous feedback sessions with peers and managers

Schedule & Flexibility

• Full-time, Monday through Friday
• No weekends or holiday shifts
• Flexibility in hours for optimal work-life balance

🛠️ Tools & Technology

As a Clinical Documentation Specialist in a remote setting, you'll leverage a suite of advanced tools to ensure precision and connectivity.

• Electronic Medical Record (EMR) systems like Epic, Cerner, and Meditech
• Computer-Assisted Coding (CAC) tools
• Encrypted collaboration tools including industry-compliant video and chat systems
• Clinical validation software and CDI dashboards
• HIPAA-compliant cloud databases for secure data access

🎯 What You’ll Need

Required Qualifications

• Registered Nurse (RN), Advanced Practice Provider (NP/PA), MD, or foreign medical graduate
• Minimum 3 years of recent clinical experience in acute care, critical care, or a similar inpatient setting
• At least 2 years of hands-on experience in Clinical Documentation Improvement or coding review
• Strong understanding of anatomy, physiology, pharmacology, and disease processes
• Proficiency with DRG assignments and clinical validation principles

Preferred Skills

• CCDS or CDIP certification is highly desirable
• Experience with electronic query platforms
• Ability to interpret lab values, radiology findings, and treatment protocols in context
• Excellent written and verbal communication skills

💼 Why This Role Stands Out

Professional Growth

• Exposure to complex case reviews and evolving medical conditions
• Frequent training updates on regulatory changes and CDI best practices
• Pathway to CDI leadership, auditing, or education roles

Compensation & Benefits

• Competitive annual salary of $81,742
• Performance-based bonuses and incentives
• Health, dental, and vision insurance
• Paid time off and continuing education support
• 100% remote—zero commuting, more autonomy

Work-Life Balance

• Create a structured day that suits your energy levels
• Reconnect with personal wellness and time with loved ones
• Eliminate office noise and focus deeply on high-impact documentation

📈 Your Role in the Bigger Picture

As healthcare continues to embrace digital evolution, the role of the CDI specialist becomes increasingly crucial. You’re not just improving charts—you’re improving care outcomes, physician compliance, and overall system accountability. Every corrected entry and clarified diagnosis contributes to a clearer, more ethical healthcare system.

Your ability to interpret medical data accurately and insightfully ensures that patients receive the care and coding they deserve.

✅ Ready to Make a Difference? Apply Now!

If you’re passionate about clinical accuracy and thrive in a focused, independent environment, it’s time to join a mission that matters. Bring your expertise to the frontline of healthcare transformation—without ever leaving your desk.

Apply today and elevate your career from wherever you are.