Lead Clinical Documentation Specialist, CDS

🌍 Remote, USA 🎯 Full-time 🕐 Posted Recently

Job Description

    Job Description:
  • The Lead Clinical Document Specialist (CDS) – Rapid Response serves as a high-level clinical documentation integrity expert, deployed to address urgent, complex, or high-impact issues across the CDI program.
  • This role supports strategic initiatives, facilitates rapid-cycle audits, and investigates documentation and coding anomalies in real-time.
  • The Rapid Response Lead works collaboratively across departments to drive accurate documentation, coding integrity, and risk adjustment capture, while supporting training, compliance, and data-driven decision-making.
  • Serve as the primary resource for urgent CDI issues (e.g., payer denials, audits, DRG validation).
  • Address immediate system needs (e.g., high denial rates, quality issues, new coding rules).
  • Mentor front-line CDSs on complex cases, query framing, and escalation.
  • Analyze documentation and coding data for trends and improvement.
  • Lead and ensure compliance of strategic CDI initiatives across markets/systems.
  • Evaluate strategic results and recommend implementation pathways.
    Requirements:
  • Licensure / Certification / Registration: Required Credential(s): Clinical Documentation Prof. credentialed from the Association of Clinical Documentation Improvement Specialists obtained prior to hire date or job transfer date.
  • Education: High School diploma equivalency with 2 years of cumulative experience OR Associate's degree/Bachelor's degree with 1 year of experience OR 5 years of applicable cumulative job specific experience required.
  • 2 years of leadership or management experience preferred.
    Benefits:
  • Paid time off (PTO)
  • Various health insurance options & wellness plans
  • Retirement benefits including employer match plans
  • Long-term & short-term disability
  • Employee assistance programs (EAP)
  • Parental leave & adoption assistance
  • Tuition reimbursement

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