Clinical Documentation Improvement Specialist
Cooper Norcross University Hospital · Posted Nov 11, 2026
- Remote, United States
- Remote
- Full-time
- $34–$56
- 3–5 years
Uses clinical expertise to review patient medical records and ensure that the documentation accurately reflects the patient’s diagnosis, treatments and severity of illness.
Compensation
Salary Min ($) USD $34.00 Salary Max ($) USD $56.00
Responsibilities
- Review inpatient medical records for clear, consistent, concise, legible and accurate documentation
- Generate and utilize queries to clarify physician documentation
- Complete analysis of clinical information to identify gaps in clinical documentation
- Collaborate with HIM Leadership, Coders, Coding Quality Educators/Reviewers and peers to improve accuracy of final DRG
- Collaborate and provide educational support to physicians, nurses and ancillary staff to facilitate modifications of clinical documentation processes
Requirements
- High School/GED
- Bachelor's Degree
- Bachelor's of Science in Nursing
- Nice to have: Certified Clinical Documentation Specialist Certification
- Nice to have: Certified Documentation Improvement Practitioner