Remote Clinical Documentation Specialist (DRG & Records)

Ascension; United States; Remote; USD 65,000 - 90,000; Full time

Job summary

Ascension is seeking a Remote Clinical Documentation Specialist to perform admission reviews, assign working DRGs, and ensure accurate documentation in the CDI system. You will collaborates with physicians to obtain detailed medical record information and resolve queries before discharge.

The role requires active engagement with clinicians to reflect severity of illness and services provided, with strong record-keeping of CDI activities and outcomes.

Qualifications

• Credentials must be obtained within 6 months of hire date or job transfer date (CCS).
• Credentials must be obtained within 6 months of hire date or job transfer date (CPC).
• Clinical Documentation Prof. credentialed from any recognized body before hire date.
• Licensed Compact State RN credentialed before hire date.
• Reg Health Info Admin credentialed before hire date.
• Reg Health Info Tech credentialed before hire date.

Responsibilities

• Completes admission reviews and assigns a working DRG and enters information into the CDI database.
• Initiates and maintains extensive interactions with physicians and mid-level providers to address documentation needs.
• Collaborates to ensure severity of illness and level of services reflected accurately and resolves physician queries prior to discharge.
• Maintains accurate records of review activities and CDI outcomes.

Education

High School diploma equivalency with 2 years of cumulative experience OR Associate's degree/Bachelor's degree OR 4 years of applicable cumulative job specific experience

Job description

Ascension is seeking a Remote Clinical Documentation Specialist to perform admission reviews, assign working DRGs, and ensure accurate documentation in the CDI system. You will collaborates with physicians to obtain detailed medical record information and resolve queries before discharge.

The role requires active engagement with clinicians to reflect severity of illness and services provided, with strong record-keeping of CDI activities and outcomes.