Clinical Documentation Specialist _ Part Time

University of Mississippi Medical Center; United States; Hybrid; USD 41,000 - 69,000; Part time

Job summary

University of Mississippi Medical Center is hiring a Clinical Documentation Specialist (Part Time) to review inpatient records and promote accurate documentation for DRG/APR payor populations. You will work with physicians and care teams to ensure documentation supports quality and appropriate reimbursement.

The role requires an active RN license and at least 2 years of acute care nursing experience, with preference for ER/ICU/Med-Surg experience.

Qualifications

• Two years of nursing experience in acute care, utilization review, case management, and/or quality management.
• Valid RN license.
• Prior ER/ICU/Med-Surg/Trauma or Surgical Services experience preferred.

Responsibilities

• Reviews inpatient medical records within 24-48 hours of admission to ensure accuracy and reflect severity of illness and resource use.
• Collaborates with physicians and healthcare providers to promote documentation improvement opportunities.
• Formulates basic, compliant queries to clarify documentation.
• Identifies and evaluates clinical indicators to support accurate diagnoses.
• Applies techniques to obtain and improve documentation related to patient care and record accuracy.
• Escalates issues to a Senior CDS, provider, or administrator for resolution.
• Collaborates with senior CDS staff to review complex cases and identify educational needs.

Skills

Evidence-based clinical guidelines

ICD-10 Inpatient Coding Guidelines

Resource and utilization management

Proficiency with related software

Verbal and written communication

Analytical and problem-solving

Job description

Job Requisition ID:

R00054601

Job Category:

Nursing

Organization:

Rev Cycle - HIM CDI

Location/s:

Remote, UMMC Medical Tower

Job Title:

Clinical Documentation Specialist _ Part Time

Job Summary:

To support and review the inpatient medical record to facilitate improvement in overall quality, completeness, clinical severity, and accuracy of inpatient clinical documentation for DRG based or APR based payor population for specific departments or areas.

To obtain and promote appropriate clinical documentation through extensive interaction with physicians and other members of the healthcare team.

Education and Experience Required:

Two (2) years of nursing experience in Acute Care, Utilization Review, Case Management, and/or Quality Management.

Certifications, Licenses, or Registration required:

Valid RN license.

Preferred Qualifications:

• Prior nursing experience in the Emergency Department (ER), Intensive Care Unit (ICU), Medical-Surgical (Med-Surg), Trauma, or Surgical Services is preferred.

Knowledge, Skills, and Abilities:

• Proficient knowledge of evidence-based clinical guidelines.
• General awareness of ICD-10 Inpatient Coding Guidelines preferred.
• Proficient knowledge of resource and utilization management and regulatory guidelines preferred.
• Excellent computer skills and proficiency with related software applications.
• Excellent verbal and written communication skills.
• Excellent analytical and problem-solving skills.

Responsibilities:

• Reviews inpatient medical records within 24-48 hours of admission to ensure accuracy, completeness, and compliance, while identifying documentation opportunities that reflect severity of illness, acuity, and resource utilization.
• Collaborates with physicians and other healthcare providers using clear, concise verbal and written communication to promote and support documentation improvement opportunities.
• Formulates basic, compliant queries (verbal or written) to clarify conflicting, ambiguous, or nonspecific documentation.
• Identifies and evaluates clinical indicators to support accurate and appropriate patient diagnoses using strong clinical assessment skills.
• Applies current and emerging techniques to obtain, evaluate, and improve documentation related to patient care and record accuracy.
• Determines when issues should be escalated to a Senior Clinical Documentation Specialist, provider, or administrator for resolution.
• Collaborates with senior CDS staff to review complex or problematic cases and identify educational needs.
• Maintains a strong understanding of risk management and quality indicators, including PSIs, HACs, and PPCs, and escalates relevant cases appropriately to senior team members.

Physical and Environmental Demands:

Requires no exposure to unpleasant or disagreeable physical environment such as high noise level and exposure to heat and cold, no handling or working with potentially dangerous equipment, occasional working hours beyond regularly scheduled hours, occasional travelling to offsite locations, frequent activities subject to significant volume changes of a seasonal/clinical nature, constant work produced is subject to precise measures of quantity and quality, occasional bending, occasional lifting/carrying up to 10 pounds, occasional lifting/carrying up to 25 pounds, no lifting/carrying up to 50 pounds, no lifting/carrying up to 75 pounds, no lifting/carrying 100 pounds or more, occasional climbing, no crawling, occasional crouching/stooping, occasional driving, no kneeling, occasional pushing/pulling, frequent reaching, frequent sitting, frequent standing, occasional twisting, and frequent walking (occasional-up to 20%, frequent-from 21% to 50%, constant-51% or more).

Time Type:

Part time

FLSA Designation/Job Exempt:

No

Pay Class:

Hourly

FTE %:

47.5

Work Shift:

Day

Benefits Eligibility:

Grant Funded: No

Job Posting Date:

10/26/2026

Benefits and Mission Statement:

The University of Mississippi Medical Center is committed to educating the next generation of health professionals, discovering new cures and treatments and providing the highest quality health care. We foster environments that support respect, compassion and belonging for all faculty, staff and students as well as patients and visitors. Our employment, academic, research and clinical care practices reflect these commitments. UMMC is an equal opportunity employer and prohibits discrimination and harassment on the basis of race, color, national origin (including limited English proficiency and primary language), disability, age, sex (as that term is defined in applicable laws such as 45 CFR § 92.101(a)(2) and binding court decisions), religion, genetic information, veteran’s status and any other status protected by applicable law. UMMC also prohibits retaliation against those who report discrimination or harassment and against those who participate in the Medical Center’s investigation and handling of such reports. Further, UMMC complies with all applicable statutes, regulations and executive orders regarding sex discrimination, sexual harassment, domestic and dating violence, sexual assault and stalking, including but not limited to Title IX of the Education Amendments of 1972 and its implementing regulations which prohibit discrimination on the basis of sex in any education program or activity UMMC operates including in admission and employment, the Jeanne Clery Disclosure of Campus Security Policy and Campus Crime Statistic Act (“Clery Act”) and the Campus Sexual Violence Elimination Act (“SaVE Act”). UMMC’s commitment to nondiscrimination applies to all of its programs, services, opportunities and activities, including but not limited to all employment, academic, research and clinical care practices and extends to all students, applicants for admission, employees, applicants for employment, affiliates, subcontractors, on‑site contractual staff, third party or community members, visitors to any of our campuses and others participating in UMMC programs or receiving UMMC services. With respect to employment in particular, this commitment applies to all employment decisions including but not limited to recruitment, employment, training, promotion, compensation, benefits, disciplinary actions and termination. UMMC maintains an affirmative action program in accordance with applicable laws. Consistent with these laws, UMMC takes affirmative action to recruit, employ, advance and prevent discrimination against qualified individuals. For additional information, please check here: Know Your Rights: Workplace discrimination is illegal (eeoc.gov). In compliance with Section 1557 of the Patient Protection and Affordable Care Act and other federal civil rights laws and to ensure individuals with disabilities and those with limited English proficiency have meaningful access to, have an equal opportunity to participate in and have an equal opportunity to enjoy the benefits of our programs, activities, services and other benefits, UMMC provides the following in a timely manner and free of charge: reasonable modifications to our policies, practices, or procedures for qualified individuals with disabilities when such modifications are necessary to avoid discrimination on the basis of disability; appropriate auxiliary aids and services for individuals with disabilities (including individuals’ companions with disabilities) which may include qualified sign language interpreters and written information in other formats including braille and large print and language assistance services for individuals with limited English proficiency (including individuals’ companions with limited English proficiency) which may include qualified interpreters and information written in other languages. Complaint Process You may request additional information, accommodation or file a complaint through the applicable process identified below. Inquiries or complaints relating to discrimination or other employment issues may be referred to the Office of Employee Relations, 2500 North State Street, Jackson, Mississippi 39216-4505 or emailed to [e-mail].

Additional Information:

We look forward to helping you find the right role with us!

2026 Benefits at a Glance - University of Mississippi Medical Center