Remote Clinical Documentation Specialist II (ICD-10/DRG)

Mount Sinai Medical Center; Miami Beach (FL); Hybrid; USD 70,000 - 90,000; Full time

Benefits offered by this job

Health benefits

Life insurance

Long-term disability

Retirement plan

Paid time off

Tuition reimbursement

Employee assistance program

Wellness program

On-site housing for select positions

Job summary

Mount Sinai Medical Center seeks a Clinical Documentation Specialist II to improve inpatient medical record accuracy for correct DRG assignment. You will query physicians, monitor 3M 360 and Epic data, and support financial and quality review projects.

Responsibilities include chart reviews, documenting queries, mentoring staff, and collaborating with interdisciplinary teams to optimize documentation and reimbursement.

Qualifications

• Strong knowledge of ICD-10 coding guidelines and DRG structure.
• Excellent verbal and written communication with providers and teams.
• Ability to review records quickly and identify documentation gaps.

Responsibilities

• Applies ICD-10 coding guidelines to achieve high DRG accuracy.
• Reviews patient records within 24-48 hours of admission and up to discharge.
• Mentors new staff and assists Rehab services with compliance and tier optimization.
• Maintains accurate data in 3M 360 and Epic systems.
• Generates clinically credible queries and achieves high response and agreement rates.

Skills

ICD-10/DRG knowledge

Strong communication skills

Education

RN or Medical Graduate

Bachelor’s Degree

Tools

Epic

3M 360 Encompass

Job description

Mount Sinai Medical Center seeks a Clinical Documentation Specialist II to improve inpatient medical record accuracy for correct DRG assignment. You will query physicians, monitor 3M 360 and Epic data, and support financial and quality review projects.

Responsibilities include chart reviews, documenting queries, mentoring staff, and collaborating with interdisciplinary teams to optimize documentation and reimbursement.