[Remote] Clinical Documentation Specialist Audit and Education

Note: The job is a remote job and is open to candidates in USA. Ascension is hiring a Clinical Documentation Specialist Audit and Education to assess the accuracy, consistency, and compliance of clinical documentation reviews. The role conducts CDI audits, tracks performance metrics, supports CDI team development, and provides education to providers.

Responsibilities

• Assess the accuracy, consistency, and compliance of clinical documentation reviews performed by front-line CDS. Supports the professional development of the CDI team and provides provider-facing education to improve clinical documentation practices
• Perform routine and ad hoc audits of CDI queries, documentation reviews, and EHR entries for compliance with internal standards, industry guidelines, and regulatory requirements
• Maintain internal audit tools, track performance metrics, and present findings to leadership on a regular basis
• Evaluate query appropriateness, clinical evidence, and alignment with coding rules (ICD-10-CM/PCS, UHDDS, CMS). Strong knowledge of SOI/ROM, MCC/CC capture, risk adjustment, quality indicators (PSI, HAC, mortality), and CMS compliance
• Create and maintain educational materials, tip sheets, and query templates in accordance with evolving CDI best practices

Skills

• 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 OR 4 years of applicable cumulative job specific experience required
• Must have a Certified Clinical Documentation Specialist (CCDS) certification from the Association of Clinical Documentation Improvement Specialists (ACDIS)
• Expert understanding of CDI best practices, DRG methodologies (MS-DRG and APR-DRG), and coding principles
• Proven ability to develop engaging education content tailored to diverse audiences (clinical, coding, administrative)
• Proficiency with audit tools, EHR systems (e.g., Epic), and CDI software platforms (e.g., Iodine, 3M, Nuance)

Benefits

• Medical, dental, vision, and prescription coverage; HSA/FSA options
• Employer-matched 403(b), planning and hardship resources, disability and life insurance
• Pro-rated paid time off (PTO) and holidays
• Ascension-paid tuition (Vocare), reimbursement, ongoing professional development and online learning
• Employee Assistance Program, counseling and peer support, spiritual care and stress management resources
• Parental leave, adoption assistance and family benefits
• Optional legal and pet insurance, transportation savings and more

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