Ascension

Senior Clinical Documentation Specialist

Ascension$82K — $115K *
US-AnywhereRemote in United States
Healthcare
Less than 5 years of experience
Job Overview by Ladders

Qualifications

  • CCDS certification required from the Association of Clinical Documentation Improvement Specialists.
  • High school diploma or equivalent with 2 years of experience, or an Associate's degree/Bachelor's degree with 1 year of experience, or 5 years of specific job experience.
  • 2 years of leadership or management experience preferred.
  • Advanced knowledge of clinical documentation, coding, DRG, and CDI standards.
  • Proficiency with CDI tools such as CDE One and Cerner.

Responsibilities

  • Adapt to various facility workflows and electronic health records (EHRs) with minimal training.
  • Support new Clinical Documentation Specialist (CDS) onboarding and regional initiatives.
  • Generate compliant documentation queries to impact coding and reimbursement accuracy.
  • Assist in the implementation of best practices for clinical documentation during transitions or expansions.
  • Quickly acclimate to local EHRs and CDI software like Epic, 3M, Iodine, and Nuance.

Benefits

  • Remote work opportunity with flexible scheduling.
  • Full-time position with day shift.
  • Opportunity to work with diverse clinical environments and practices.
  • Engagement in regional initiatives enhancing clinical documentation integrity.
Full Job Description
Your future role at a glance

Location: Remote

Department: Clinical Documentation Integrity

Schedule: Full-time | Day Shift

Salary: $82,825.00 - $115,453.00 per year

#LI-AM2

#LI-Remote

How you'll make an impact in this role

  • Adapt to varied facility workflows, EHRs, and service lines with minimal training. Support new CDS onboarding, short-term training, and regional initiatives when not deployed for coverage. Assist leadership with CDI best practice implementation during transitions/expansion.
  • Perform compliant query generation to clarify documentation impacting coding, severity, quality, and reimbursement.
  • Quickly acclimate to local workflows, EHRs (Epic, Cerner), and CDI software (3M, Iodine, Nuance).
  • Must be certified in CCDS- Certified Clinical Documentation Specialist (CCDS)

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

  • CCDS certified with advanced knowledge of clinical documentation, coding, DRG, and CDI standards.
  • Proven adaptability to various hospital systems and workflows. Expertise in SOI/ROM, MCC/CC, mortality reviews, and quality indicator alignment (PSI, HAC).
  • Strong time management, independence, and problem-solving skills. Proficient with multiple CDI tools (CDE One, Cerner preferred) and remote platforms. Flexible and available for rapid, minimal-notice deployment.


Responsibilities

  • Adapt to varied facility workflows, EHRs, and service lines with minimal training. Support new CDS onboarding, short-term training, and regional initiatives when not deployed for coverage. Assist leadership with CDI best practice implementation during transitions/expansion.
  • Perform compliant query generation to clarify documentation impacting coding, severity, quality, and reimbursement.
  • Quickly acclimate to local workflows, EHRs (Epic, Cerner), and CDI software (3M, Iodine, Nuance).
  • Must be certified in CCDS- Certified Clinical Documentation Specialist (CCDS)


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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