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R1 RCM

Clinical Documentation Improvement Specialist

R1 RCM

CDI Specialist utilizing clinical and coding knowledge for records review and documentation improvement initiatives. Evaluating clinical services documentation quality in a remote setting for a leading healthcare solutions company.

Posted 7/2/2026full-timeRemote • 🇺🇸 United StatesMid-LevelSenior💰 $48,131 - $81,225 per yearWebsite

About the role

Key responsibilities & impact
  • Use clinical and coding knowledge for conducting clinically based concurrent and retrospective reviews of inpatient medical records
  • Evaluate the documentation of clinical services by identifying opportunities for improving the quality of medical record documentation
  • Facilitate and obtain appropriate physician documentation for clinical conditions or procedures
  • Participate in ongoing documentation improvement initiatives

Requirements

What you’ll need
  • Associate’s Degree in Nursing (Bachelor’s Degree in Nursing is preferred)
  • Three to five years of recent clinical work experience in the medical-surgical area, ICU, telemetry, and or emergency department
  • An active US RN license is required
  • Knowledge or experience in electronic medical records (EMR) platforms and CDI platforms

Benefits

Comp & perks
  • Competitive benefits package

ATS Keywords

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Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills & Tools
Clinical ReviewMedical Record DocumentationQuality ImprovementConcurrent ReviewRetrospective Review
Soft Skills
FacilitationCollaboration
Certifications
Associate’s Degree in NursingBachelor’s Degree in Nursing (Preferred)