Remote CDI Specialist: Denials Prevention & Documentation Excellence

Ladders; United States; Remote; USD 100,000 - 219,000; Full time

Job summary

Ladders is seeking a Clinical Documentation Integrity Specialist to strengthen documentation accuracy, support denial prevention, and improve clinical records in a complex healthcare environment. This remote US-based role emphasizes collaboration with clinical teams, coding stakeholders, and other departments to ensure records are complete and well-supported.

Responsibilities include reviewing high-acuity records, supporting appeals, analyzing denial trends, and promoting continuous improvement

Qualifications

• Bachelor's degree in a health-related field preferred.
• RN license or MD diploma required.
• Minimum three years of Clinical Documentation Integrity experience, preferably at AMC.
• Knowledge of coding guidelines and Coding Clinic.
• Understanding of Medicare and Medi-Cal documentation laws and regs.
• Experience with EPIC, 3M 360 Encompass CAC, and MS Office.

Responsibilities

• Review high-acuity patient records daily to identify payer denials.
• Assess clinical validity and support denial prevention and appeals.
• Communicate continuously with department staff and educate clinical personnel.
• Partner with multiple departments to analyze and gather information.
• Prepare and submit quality appeal letters based on clinical evidence.
• Identify denial trends and root causes, providing feedback.
• Ensure accuracy and completeness of clinical documentation.

Skills

Leadership

Regulatory knowledge

Coding guidelines knowledge

Education

RN license

MD diploma

Tools

EPIC

3M 360 Encompass CAC

MS Office

Job description

Ladders is seeking a Clinical Documentation Integrity Specialist to strengthen documentation accuracy, support denial prevention, and improve clinical records in a complex healthcare environment. This remote US-based role emphasizes collaboration with clinical teams, coding stakeholders, and other departments to ensure records are complete and well-supported.

Responsibilities include reviewing high-acuity records, supporting appeals, analyzing denial trends, and promoting continuous improvement