Clinical Documentation Improvement Specialist, RN

TalentLNX LLC; Texas; Hybrid; USD 88,000 - 108,000; Full time

Job summary

TalentLNX LLC is seeking a Clinical Documentation Improvement Specialist, RN, to strengthen inpatient documentation through concurrent review and clinician collaboration. This remote, contract-to-hire role supports a Texas-based health system and partners with coding teams to ensure the medical record reflects each patient’s clinical picture.

The ideal candidate has acute care CDI experience, strong clinical judgment, and writes compliant non-leading queries.

Qualifications

• Bachelor of Science in Nursing preferred.
• Active, unrestricted Texas or compact RN license required.
• CCDS or CDIP certification strongly preferred.
• Minimum 3 years CDI experience.
• Experience writing compliant physician queries.

Responsibilities

• Perform concurrent review of inpatient records for documentation specificity and clinical validity.
• Identify opportunities to clarify diagnoses, severity, and present on admission status.
• Write compliant, non-leading physician queries consistent with ACDIS and AHIMA practice briefs.
• Track physician response and agreement rates for queries.
• Validate documented conditions are supported by clinical indicators.
• Assess DRG accuracy and opportunities related to severity of illness and risk of mortality.
• Collaborate with coding on DRG reconciliation and resolve variances.
• Educate physicians on documentation requirements by service line.
• Support denial prevention through strong clinical validity documentation at point of care.
• Track CDI metrics: review coverage, query rate, response rate, case-mix impact.
• Participate in clinical validation denial appeals with supporting record evidence.
• Maintain knowledge of coding guidelines and payer validation criteria.

Skills

3+ years CDI experience

Compliant physician queries

Acute care clinical background

MS-DRG/APR-DRG knowledge

Education on documentation quality

Education

Bachelor of Science in Nursing

Texas RN license (compact acceptable)

CCDS or CDIP certification

Job description

# Clinical Documentation Improvement Specialist, RNClinical Audit & Revenue IntegrityRemoteOctober 5, 2026$88,000 - $108,000 / yearContractFull TimeRemoteApplication ends: **November 6, 2026**Apply Now### Job Description**Location:** RemoteWe are seeking a **Clinical Documentation Improvement Specialist, RN** to strengthen the accuracy, specificity, and clinical integrity of inpatient documentation through concurrent review and compliant physician collaboration. This position is a full-time, contract to hire opportunity based remotely, supporting a Texas based health system. The role partners closely with physicians, advanced practice providers, and coding teams to ensure the medical record fully reflects each patient’s clinical picture.This role is well aligned for an experienced CDI nurse who brings strong acute care clinical judgment and views documentation improvement as a clinical partnership. The ideal candidate writes clear, compliant, non-leading queries, builds productive working relationships with providers, and educates with confidence across service lines.**Responsibilities:*** Perform concurrent review of inpatient records for documentation specificity and clinical validity* Identify opportunities to clarify diagnoses, severity, and present on admission status* Write compliant, non-leading physician queries consistent with ACDIS and AHIMA practice briefs* Follow queries through to response and track physician response and agreement rates* Validate that documented conditions are supported by clinical indicators in the record* Assess working DRG accuracy and identify opportunities related to severity of illness and risk of mortality* Collaborate with coding on DRG reconciliation and resolve documentation variances* Educate physicians and advanced practice providers on documentation requirements by service line* Support denial prevention through strong clinical validity documentation at the point of care* Track CDI metrics, including review coverage, query rate, response rate, and case mix impact* Participate in clinical validation denial appeals with supporting record evidence* Maintain current knowledge of coding guidelines and payer clinical validation criteria**Qualifications:*** Bachelor of Science in Nursing preferred* Active, unrestricted Texas or compact Registered Nurse license required* CCDS or CDIP certification strongly preferred* Minimum of 3 years of clinical documentation improvement experience* Demonstrated experience writing compliant physician queries* Working knowledge of MS-DRG and APR-DRG methodology, severity of illness, and risk of mortality* Strong acute care clinical background, with critical care or medical-surgical experience preferred* Familiarity with clinical validation denials and appeal support**Schedule:*** Full-time, contract to hire position with conversion anticipated after the initial contract period* Remote position* Monday through Friday, standard business hours ([Time Zone])* 40 hours per week**Salary Range:** The salary range for this position is approximately $88,000 – $108,000 annually ($42.31 – $51.92 per hour), based on experience and qualifications.**Interview Process:**Selected candidates will participate in a multi-step interview process, including an initial screening with TalentLNX followed by interviews with department leadership.