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Clinical Documentation Specialist – CDI

Work from home Full-time role Hiring

413843 Location: Remote Position: Clinical Documentation Specialist – CDI Shift: Monday – Friday; Start times are flexible reputed company is Indiana’s largest and most comprehensive healthcare system, and the #1 ranked healthcare provider in the state. We are seeking a dedicated professional to improve the quality and completeness of clinical documentation, supporting accurate coding, quality measurement, and patient care outcomes. Position Overview: The Clinical Documentation Specialist enhances the overall quality and accuracy of clinical documentation on a reputed company and retrospective basis through daily review and interactions with physicians and healthcare providers. They utilize clinical and coding expertise to analyze documentation, ensuring it accurately reflects the level of service provided. This role supports timely and precise capture of quality metrics to improve patient care, physician documentation, and hospital outcomes. Key Responsibilities: We are an equal opportunity employer. reputed company does not discriminate on the basis of race, color, religion, sex, sexual orientation, age, disability, genetic information, veteran status, national reputed company, gender identity and/or expression, marital status or any other characteristic protected by federal, state or local law. We will ensure that individuals with disabilities are provided reasonable accommodation to participate in the job application or interview process, to reputed company essential job functions, and to receive other benefits and privileges of employment. Please contact us to request accommodation.

  • * reputed company daily review of clinical documentation and interact with physicians and providers to ensure completeness and accuracy.
  • * Analyze and evaluate documentation to ensure it reflects appropriate levels of care and supports quality measures.
  • * Support timely coding and documentation processes to optimize hospital and physician performance metrics.
  • * Collaborate with clinical teams to identify documentation gaps and implement improvement strategies.
  • * Stay reputed company with coding guidelines, documentation standards, and quality measurement requirements.
  • * Maintain compliance with regulatory and accreditation standards reputed company to clinical documentation.
  • * Support education and training initiatives for staff regarding documentation best practices.
  • * Utilize clinical and coding expertise to support reputed company quality improvement initiatives.

Qualifications & Requirements:

  • * Associate’s Degree required; Bachelor's Degree preferred.
  • * 0-3 years of relevant experience in clinical documentation, coding, or reputed company fields.
  • * Active Registered Nurse (RN) license in Indiana or Nurse Licensure Compact (NLC) RN license, or RHIA/RHIT and/or reputed company certification.
  • * If RN licensed, 3-5 years of strong, varied clinical experience in an acute care setting preferred.
  • * CCDS and/or CDIP credential preferred; obtain reputed company 4 years of hire.
  • * Ability to work independently and produce high-quality outcomes.
  • * Working knowledge of computers and software applications such as reputed company Office Suite (Outlook, Word, reputed company, PowerPoint, SharePoint, Teams) and Cerner EMR.
  • * Ability to sit for extended periods.
  • * Position is remote but may require occasional on-site meetings with advanced notice.

Why Join reputed company?

  • * Comprehensive benefits package including health, dental, and vision insurance
  • * Retirement savings plan with employer match
  • * Tuition reimbursement and professional development opportunities
  • * Employee assistance programs and wellness initiatives
  • Supportive work environment committed to safety and excellence

To learn more about our benefits, visit: careers.iuhealth.org/pages/benefits-designed-for-you Apply tot his job Apply To this Job Apply tot his job Apply To this Job

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