Clinical Documentation Specialist

St. Charles Health System

Clinical Documentation Integrity Specialist II providing documentation support at St. Charles Health System.

Posted 7/17/2026full-timeRemote • Arizona, Florida, Idaho, Montana, Nevada, New Mexico, North Carolina, Oklahoma, Oregon, Tennessee, Utah, Wisconsin • 🇺🇸 United StatesJuniorMid-Level💰 $95,680 - $143,520 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in clinical documentation improvement, including collaboration with healthcare providers and effective communication to enhance patient record accuracy. Proficient in utilizing EPIC and 3M 360 Encompass software to support documentation processes.

Highest-signal resume keywords

Current Oregon RN LicenseCDDS CertificationCDIP CertificationTwo Years CDIS ExperienceProficient Use of EPIC

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Clinical Documentation ImprovementQuality Indicator ReviewConcurrent ReviewRetrospective ReviewDocumentation Clarification

Soft Skills

CollaborationCommunicationEducation

Tools & Technologies

EPIC3M 360 Encompass

Certifications & Qualifications

CCDSCDIP

Industry Keywords

Patient RecordsHealthcare ProvidersMedical Records CodersPhysician Advisor

About the role

Key responsibilities & impact

Collaborates with physician, mid-level providers, ancillary staff, and medical records coders to identify principle and secondary diagnoses, and principle procedures
Reviews for quality indicators
Conducts initial and ongoing concurrent and some retrospective reviews for system wide admissions for all payors
Identifies when there is a need to clarify documentation in patient records and initiates queries or communication with providers
Provides information and education as necessary to providers on an ongoing basis
Collaborates with Physician Advisor to present education

Requirements

What you’ll need

Required: As required by licensure for RN
Preferred: BSN
Required: Current Oregon RN License
CCDS (Certified Clinical Documentation Specialist) or CDIP (Certified Documentation Improvement Practitioner)
Required: Minimum of two (2) years recent CDIS experience
Preferred: Proficient use of EPIC and 3M 360 Encompass software programs

Benefits

Comp & perks

medical
dental
vision
a 403(b) retirement plan
a generous Earned Time Off (ETO) program