Part-Time CDS: Elevate Inpatient Documentation & Compliance

Boston Medical Center; United States; Remote; USD 52,000 - 103,000; Part time

Job summary

Boston Medical Center seeks a Clinical Documentation Specialist to perform concurrent and retrospective reviews of inpatient records, ensuring accurate documentation and appropriate reimbursement. The role emphasizes physician communication and QA for severity of illness and mortality risk, with a focus on compliant coding and reporting.

The position is part-time and union-per-diem, requiring an RN or CCS with 6+ years of clinical/inpatient experience.

Qualifications

• Bachelor’s degree required; nursing or HIM emphasis preferred.
• RN or CCS certification required; CCDS/CDIP preferred.
• Minimum 6 years related experience including inpatient case management or coding with DRG validation.

Responsibilities

• Perform concurrent and retrospective reviews of inpatient records to evaluate utilization and documentation.
• Facilitate physician documentation to accurately reflect severity of illness and mortality risk.
• Collaborate with care teams to ensure compliant reimbursement and report quality outcomes.

Skills

CDS experience

Inpatient coding

Communication

Healthcare documentation

Education

Bachelor’s degree in Nursing or Health Information Management

Tools

EHR systems

Job description

Boston Medical Center seeks a Clinical Documentation Specialist to perform concurrent and retrospective reviews of inpatient records, ensuring accurate documentation and appropriate reimbursement. The role emphasizes physician communication and QA for severity of illness and mortality risk, with a focus on compliant coding and reporting.

The position is part-time and union-per-diem, requiring an RN or CCS with 6+ years of clinical/inpatient experience.