Clinical Documentation Specialist: CDI & Risk Adjustment

SSM Health; United States; Remote; USD 85,000 - 110,000; Full time

Benefits offered by this job

Paid Parental Leave

Flexible Payment Options

Upfront Tuition Coverage

Job summary

SSM Health is seeking a Clinical Documentation Improvement Specialist to join the interdisciplinary care team. The role ensures documentation accurately reflects a patient’s health status for risk adjustment and CMS alignment, while supporting education and program development across the network.

The position requires acute care CDI experience, knowledge of regulatory requirements, and the ability to liaison between coding staff and clinicians.

Qualifications

• Graduate from an accredited nursing, PA, NP, or medical school; CCDS certification preferred if Associate’s degree.
• 2+ years in an acute care setting with clinical documentation experience or 4 years with CCDS certification.

Responsibilities

• Reviews clinical records for CDI and mortality scoring.
• Collaborates on CDI and risk adjustment findings with clinicians and staff.
• Stays current with CMS requirements and provides feedback during concurrent reviews.
• Identifies opportunities for program development and process improvements.

Skills

CDI

CMS knowledge

Mortality scoring

Team liaison

Educator

Education

Nursing/PA/NP/MD degree

CCDS certification

Job description

SSM Health is seeking a Clinical Documentation Improvement Specialist to join the interdisciplinary care team. The role ensures documentation accurately reflects a patient’s health status for risk adjustment and CMS alignment, while supporting education and program development across the network.

The position requires acute care CDI experience, knowledge of regulatory requirements, and the ability to liaison between coding staff and clinicians.