Remote Clinical Documentation Specialist (CDI)

AdventHealth; Western Springs (IL); Remote; USD 72,000 - 134,000; Full time

Job summary

UChicago Medicine AdventHealth seeks a Clinical Documentation Specialist to educate patient-care teams on documentation guidelines and collaborate with physicians to ensure accurate, complete records.Responsibilities include resolving coding discrepancies, reviewing SOI/ROM, and maintaining CDI worksheets.

Flexible 8-hour shifts between 6am and 6pm Monday–Friday with full remote options, requiring RN/PA/MD/CRNP or equivalent licensure and acute care nursing experience.

Qualifications

• Educates members of the patient-care team regarding documentation regulations and guidelines.
• Communicates with physicians and other healthcare providers to ensure accurate clinical documentation.
• Maintains a 95% physician response rate to clarifications.
• Reviews records for SOI and ROM accuracy and quality.

Responsibilities

• Educates the care team on documentation regulations and guidelines.
• Collaborates with physicians to ensure complete and accurate documentation.
• Reviews concurrent records for completeness and accuracy of SOI/ROM.
• Inputs data into CDI Software and supports reconciliation metrics.
• Transcribes clarifications to ensure compliance.

Skills

Clinical Documentation

Physician Relations

SOI ROM

Healthcare Compliance

Coding Background

Education

Bachelor's of Nursing

Master's of Nursing

Tools

CDI Software

EMR Systems

Job description

UChicago Medicine AdventHealth seeks a Clinical Documentation Specialist to educate patient-care teams on documentation guidelines and collaborate with physicians to ensure accurate, complete records.Responsibilities include resolving coding discrepancies, reviewing SOI/ROM, and maintaining CDI worksheets.

Flexible 8-hour shifts between 6am and 6pm Monday–Friday with full remote options, requiring RN/PA/MD/CRNP or equivalent licensure and acute care nursing experience.