Clinical Coding Specialist-Medical Records

Insight Global; Baltimore (MD); Hybrid; USD 62,000 - 76,000; Full time

Job summary

Insight Global is seeking an experienced Clinical Documentation Specialist in Baltimore, MD for a 3-month contract. The role involves real-time documentation in PACU, collaboration with surgeons and clinicians, and distant pre-admission audits on remote days.

On-site with surgeons, nurses, and anesthesiologists, and remote days for case review, leveraging Epic and 3M Solventum tools. Minimum 3 years in CDI/CDS plus CCDS certification and RN background are required, with adaptability to evolving

Qualifications

• Minimum 3 years of CDI/CDS experience.
• CDDS/CCDS certification required.
• RN background with clinical experience.

Responsibilities

• Provide real-time documentation support in PACU and surgical areas.
• Engage providers to ensure accurate, complete records.
• Conduct pre-admission audits on remote days.

Skills

RN background

Adaptability

Clinical documentation

Education

CCDS certification

RN licensure

Tools

Epic

3M 360/Solventum

Job description

CDI SPECIALIST Position: CDI Specialist
Location: 22 N Greene St, Baltimore, MD, 21201
Duration: 3-month contract with potential conversion depending on performance
PR : $45-55
Shift: M-F 9:00am-5:00pm
M/T/W on-site
With all the surgeons shadowing providing real time documentation support in the PACU
Th/F remote
Anticipated start date : ASAP

Day-to-Day Responsibilities

Insight Global is seeking an experienced Clinical Documentation Specialist (CDS/CDI) to support a healthcare system in Baltimore, MD. When on-site, this individual will work directly with surgeons, anesthesiologists, and other clinicians in the PACU and surgical areas to support accurate, complete documentation in real time. Responsibilities include locating and engaging providers throughout the unit, discussing cases identified during advance reviews, and listening to relevant clinical exchanges, including timeouts and recovery-phase handoffs.

On remote days, the specialist will conduct pre-admission audits of patients scheduled for upcoming surgeries, reviewing cases in advance and preparing them for discussion with physicians when back on-site.

Must Haves

• Minimum 3 years of CDI/CDS experience.
• CCDS certification.
• RN background with clinical experience.
• Adaptability and comfort working in a developing program with evolving workflows and caseload expectations.

Plusses

• ICU or surgical nursing experience.
• Additional coding certification, such as CCS.
• Experience working with Epic and 3M 360/Solventum