Ascension

Lead Clinical Documentation Specialist

Ascension$96K — $134K *
US-AnywhereRemote in United States
Healthcare
5 - 7 years of experience
Job Overview by Ladders

Qualifications

  • CCDS certification from the Association of Clinical Documentation Improvement Specialists required before hire or transfer
  • Education: High School diploma with 2 years of experience, or Associate's/Bachelor's degree with 1 year of experience, or 5 years of job-specific experience
  • Minimum of 2 years of leadership or management experience preferred
  • Strong understanding of clinical documentation integrity and coding practices
  • Proficient in addressing urgent CDI issues

Responsibilities

  • Serve as a clinical documentation integrity expert for urgent and complex issues
  • Address and resolve immediate CDI system needs like payer denials and new coding rules
  • Mentor front-line CDSs, assisting with case complexities and query framing
  • Analyze data for documentation and coding trends, providing insights for improvement
  • Lead strategic initiatives ensuring compliance across systems and markets

Benefits

  • Remote work flexibility
  • Full-time day schedule
  • Opportunity to engage in high-impact clinical documentation initiatives
  • Collaborative work environment across various departments
  • Professional development and mentorship opportunities
Full Job Description
Your future role at a glance

Location: Remote

Department: Clinical Documentation Integrity

Schedule: Full-Time | Day

Salary: $96,208.99-$134,109.89 per year

#LI-remote

How you'll make an impact in this role

  • The Lead Clinical Document Specialist (CDS) - Rapid Response serves as a high-level clinical documentation integrity expert, deployed to address urgent, complex, or high-impact issues across the CDI program. This role supports strategic initiatives, facilitates rapid-cycle audits, and investigates documentation and coding anomalies in real-time. The Rapid Response Lead works collaboratively across departments to drive accurate documentation, coding integrity, and risk adjustment capture, while supporting training, compliance, and data-driven decision-making.
  • Serve as the primary resource for urgent CDI issues (e.g., payer denials, audits, DRG validation). Address immediate system needs (e.g., high denial rates, quality issues, new coding rules).
  • Mentor front-line CDSs on complex cases, query framing, and escalation. Analyze documentation and coding data for trends and improvement.
  • Lead and ensure compliance of strategic CDI initiatives across markets/systems. Evaluate strategic results and recommend implementation pathways.
  • CCDS Certification is required for this position.

What minimum requirements you'll need

Licensure / Certification / Registration:

Required Credential(s):

  • Clinical Documentation Prof. credentialed from the Association of Clinical Documentation Improvement Specialists obtained prior to hire date or job transfer date.


Education:

  • High School diploma equivalency with 2 years of cumulative experience OR Associate'
    degree/Bachelor's degree with 1 year of experience OR 5 years of applicable cumulative job specific experience required. 2 years of leadership or management experience preferred.

What additional preferences we're seeking

  • Lead experience
  • Project Management experience
  • CCDS Certification is required


Responsibilities

  • The Lead Clinical Document Specialist (CDS) - Rapid Response serves as a high-level clinical documentation integrity expert, deployed to address urgent, complex, or high-impact issues across the CDI program. This role supports strategic initiatives, facilitates rapid-cycle audits, and investigates documentation and coding anomalies in real-time. The Rapid Response Lead works collaboratively across departments to drive accurate documentation, coding integrity, and risk adjustment capture, while supporting training, compliance, and data-driven decision-making.
  • Serve as the primary resource for urgent CDI issues (e.g., payer denials, audits, DRG validation). Address immediate system needs (e.g., high denial rates, quality issues, new coding rules).
  • Mentor front-line CDSs on complex cases, query framing, and escalation. Analyze documentation and coding data for trends and improvement.
  • Lead and ensure compliance of strategic CDI initiatives across markets/systems. Evaluate strategic results and recommend implementation pathways.
  • CCDS Certification is required for this position.


Qualifications

Licensure / Certification / Registration:

Required Credential(s):

  • Clinical Documentation Prof. credentialed from the Association of Clinical Documentation Improvement Specialists obtained prior to hire date or job transfer date.


Education:

  • High School diploma equivalency with 2 years of cumulative experience OR Associate'
    degree/Bachelor's degree with 1 year of experience OR 5 years of applicable cumulative job specific experience required. 2 years of leadership or management experience preferred.

About Ascension

Ascension is a healthcare company that provides a range of services, including hospital care, primary care, and specialty care. The company operates more than 150 hospitals and 50 senior living facilities across the United States. Ascension also offers health insurance and other healthcare-related services. The company was founded in 1999 and is headquartered in St. Louis, Missouri.
Learn more about Ascension
Size
165,000 employees
Industry
Founded
1999

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