Clinical Documentation Integrity RN

confidential; United States; Remote; USD 70,000 - 110,000; Full time

Benefits offered by this job

Medical, dental, and vision insurance

Job summary

The Judge Group is seeking an experienced Clinical Documentation Integrity (CDI) Specialist (RN) to support inpatient documentation improvement initiatives in a fully remote environment. The role requires working independently while collaborating with providers to ensure accurate, complete clinical documentation.

Responsibilities include reviewing new inpatient cases, daily follow-ups for accuracy and compliance, and clarifying documentation with physicians.

Qualifications

• Active RN license required.
• 3–5+ years of CDI experience in inpatient acute care.
• Experience with Epic EHR is required.

Responsibilities

• Perform initial reviews of inpatient CDI cases.
• Conduct daily follow-ups to ensure documentation accuracy and compliance.
• Collaborate with physicians to clarify clinical indicators and documentation opportunities.
• Use CDI software and Epic EHR to review and update case information.
• Maintain productivity in a fully remote workload.

Skills

Independent remote work

Clear communication

Clinical judgment

Provider collaboration

Education

RN license

Tools

Epic EHR

Nuance CDE

Job description

Overview

We are seeking an experienced Clinical Documentation Integrity (CDI) Specialist (RN) to support inpatient documentation improvement initiatives in a fully remote environment. This role is ideal for a CDI professional with acute care experience who is comfortable working independently while collaborating with providers to ensure accurate, complete clinical documentation.

Assignment Details

• Contract Length: 6 months (Temp-to-Hire potential)
• Start Date: November 26th
• Schedule: Monday–Friday, 40 hours per week
• Training Hours: Pacific Time, approximately 8:00 AM–5:00 PM
• Post-Training Schedule: Flexible within your local time zone, 8-hour workday

Key Responsibilities

• Perform initial clinical documentation reviews for new inpatient cases.
• Conduct daily follow-up reviews to ensure documentation accuracy, completeness, and compliance.
• Collaborate with physicians and other providers to clarify clinical indicators and documentation opportunities.
• Utilize CDI software and Epic EHR to review, track, and update case information.
• Maintain productivity and quality standards while managing an independent remote workload.
• Ensuring Clinical Documentation Meets Quality And Regulatory Standards
• Working With Medical Professionals To Clarify Documentation

Productivity Expectations

• Complete approximately 10 new case reviews per day
• Complete 10–15 re-reviews per day
• Maintain a 25% provider clarification rate
• Achieve an 11% financial impact rate

Required Qualifications

• Active Registered Nurse (RN) license
• 3–5+ years of Clinical Documentation Integrity (CDI) experience
• Recent inpatient CDI experience in an acute care hospital
• Experience working with Epic (required)
• Experience with Nuance CDE (preferred)
• Strong clinical judgment, communication, and documentation review skills
• Ability to work independently in a remote environment

Preferred Skills

• Strong collaboration and provider communication skills
• Excellent organizational and time management abilities

• Medical, dental, and vision insurance are available to qualified candidates who meet eligibility requirements.