Remote CDI Specialist II (RN/CCDS) – Obstetrics/NICU

adventhealth; Merriam (KS); On-site; USD 68,000 - 126,000; Full time

Job summary

AdventHealth seeks a Clinical Document Specialist II to lead CDI activities in obstetric and NICU care. This full-time, remote-capable role requires KS RN licensure, CCDS certification, and 5 years CDI experience. You will analyze records, educate clinicians, and improve documentation quality to support SOI, ROM, and quality measures.

Join a mission-driven team focused on accurate documentation, regulatory compliance, and ongoing process improvement within a supportive health system.

Qualifications

• RN/Associate's Degree required.
• BSN preferred.
• 5 years of Clinical Documentation Integrity (CDI) experience involving Obstetric and/or NICU patient populations.
• Acute care nursing experience in Obstetrics, Labor & Delivery, Mother-Baby, Women's Services, NICU, or related specialties strongly preferred.
• Five years of CDI experience required.
• Certified Clinical Documentation Specialist (CCDS) required.
• JATA training preferred.

Responsibilities

• Facilitates CDI activities to ensure accurate representation of patient acuity, severity, ROM, and quality outcomes.
• Reviews concurrent medical records for completeness, accuracy, compliance, and documentation opportunities.
• Identifies opportunities for documentation improvement through analysis of indicators, medical necessity, and patient care documentation.
• Develops and communicates CDI clarifications to physicians, APPs, and healthcare team.
• Initiates CDI severity worksheets and documentation queries to support compliant documentation practices.
• Reviews and reconciles documentation related to SOI, ROM, PSI, HAC, HCC, and quality measures.
• Enter and maintain CDI data within designated software systems for reporting and metrics.
• Collaborates with physicians, nursing staff, HIM professionals, coders, and team members to improve documentation quality.
• Works with Health Information Management staff to resolve DRG assignment disparities and coding-related issues.
• Conducts timely follow-up reviews on concurrent cases and prioritizes cases needing clarification resolution.

Skills

Communication skills

Time management

Critical thinking

CDI software

Regulatory knowledge

Education

RN/Associate's Degree

BSN preferred

Tools

DRG coding systems

EHR systems

Coding software

Job description

AdventHealth seeks a Clinical Document Specialist II to lead CDI activities in obstetric and NICU care. This full-time, remote-capable role requires KS RN licensure, CCDS certification, and 5 years CDI experience. You will analyze records, educate clinicians, and improve documentation quality to support SOI, ROM, and quality measures.

Join a mission-driven team focused on accurate documentation, regulatory compliance, and ongoing process improvement within a supportive health system.