Remote CDI Specialist II — Inpatient Documentation

Pride Health; Oklahoma; Remote; USD 79,000 - 84,000; Full time

Job summary

Pride Health is seeking a Clinical Documentation Specialist II for a local contract in Oklahoma City, OK. You will conduct concurrent and retrospective reviews, identify documentation gaps, and develop compliant, non-leading queries. Schedule is 8-hour shifts, 40 hours per week, with an early start window.

This fully remote role covers OK, KS, MO, TX, and AR, with a 13-week term and potential to convert. Requires CCDS/CDIP, active clinical licensure (RN/LPN/PA/NP or RHIA/RHIT/CCS/CPC), and 3+

Qualifications

• CCDS or CDIP certification required.
• Active clinical/health information credential such as RN, LPN, PA, NP, RHIA, RHIT, CCS, CPC, or equivalent.
• USMLE certification is required for foreign medical graduates.
• 3+ years of relevant CDI experience.
• Minimum 3 years of inpatient adult bedside clinical experience.
• Critical care and trauma experience preferred.
• Strong knowledge of CDI practices, compliant query standards, clinical validation, quality measures, and risk adjustment.

Responsibilities

• Conduct concurrent and retrospective inpatient medical record reviews.
• Identify documentation gaps involving diagnoses, complications, comorbidities, procedures, CC/MCC, POA, and clinical validation.
• Develop and issue compliant, non-leading CDI queries.
• Follow up and escalation queries according to established processes.
• Collaborate with physicians, Coding, Quality, Case Management, and CDI leadership.
• Identify opportunities affecting SOI/ROM, quality metrics, and risk adjustment.
• Support CDI education, documentation integrity, and compliance initiatives.
• Mentor and guide CDS Level I staff.

Skills

CDI Certification

Inpatient CDI

Clinical documentation

Communication skills

Education

RN/LPN/PA/NP or RHIA/RHIT/CCS/CPC

USMLE for foreign grads

Job description

Pride Health is seeking a Clinical Documentation Specialist II for a local contract in Oklahoma City, OK. You will conduct concurrent and retrospective reviews, identify documentation gaps, and develop compliant, non-leading queries. Schedule is 8-hour shifts, 40 hours per week, with an early start window.

This fully remote role covers OK, KS, MO, TX, and AR, with a 13-week term and potential to convert. Requires CCDS/CDIP, active clinical licensure (RN/LPN/PA/NP or RHIA/RHIT/CCS/CPC), and 3+