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Senior Clinical Documentation Specialist
Ascension Executive RecruitmentSenior Clinical Documentation Specialist providing cross-market CDI coverage for Ascension’s nonprofit Catholic healthcare system. Managing complex cases, mentoring teams, and improving accurate medical record documentation.
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in Clinical Documentation Improvement (CDI) practices, coding guidelines, and EHR navigation, while effectively managing high-complexity cases and leading initiatives across multi-market systems. Proven ability to mentor and support CDI teams, ensuring high-quality standards and continuity of operations.
Highest-signal resume keywords
Clinical Documentation Improvement (CDI)CDDS CertificationRegistered Nurse (RN) LicenseEHR Navigation (Epic, Cerner)Leadership or Management Experience
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Clinical DocumentationCodingDRGSOI/ROM ExpertiseMCC/CCMortality ReviewsQuality Indicator AlignmentTime ManagementProblem-SolvingAdaptability
Soft Skills
Independence
Tools & Technologies
CDE OneCerner3MIodineNuance
Certifications & Qualifications
Clinical Documentation Prof. CredentialCCDS Certification
Industry Keywords
Clinical Documentation StandardsHigh-Complexity CasesCDI PracticesMedical Record DocumentationProvider Collaboration
About the role
Key responsibilities & impact- Provide cross-coverage and high-level CDI support across Ascension’s multi-market system
- Cover temporary staffing gaps due to PTO, medical leave, vacancies, and fluctuating census
- Function as an advanced front-line Clinical Documentation Specialist
- Manage high-complexity cases
- Lead key initiatives
- Serve as a subject matter expert and mentor within CDI departments across markets
- Apply CDI practices and coding guidelines to facilitate complete and accurate medical record documentation
- Collaborate with providers
- Adapt to varied facility workflows, EHRs, and service lines with minimal training
- Support new CDS onboarding, short-term training, and regional initiatives when not deployed for coverage
- Maintain high-quality standards and continuity of CDI operations
Requirements
What you’ll need- Clinical Documentation Prof. credentialed from the Association of Clinical Documentation Improvement Specialists obtained prior to hire date or job transfer date
- 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
- 3+ years of clinical documentation, coding, DRG, and strong CDI standards
- Proven adaptability to various hospital systems and workflows
- Expertise in SOI/ROM, MCC/CC, mortality reviews, and quality indicator alignment (PSI, HAC)
- Strong time management, independence, and problem-solving skills
- Proficient with multiple CDI tools (CDE One, Cerner preferred) and remote platforms
- Active Registered Nurse (RN) license required
- CCDS certified required
- Strong technical skills in navigation of multiple EHRs
- Ability to quickly acclimate to local workflows, EHRs (Epic, Cerner), and CDI software (3M, Iodine, Nuance)
- 2 years of leadership or management experience preferred
Benefits
Comp & perks- 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
- Ways to give back to your community
- Inclusive and supportive work environment
- Military-Friendly Gold Employer