Clinical Documentation Integrity Specialist I

Stanford Health Care

. Reviews clinical documentation to facilitate the accurate representation of the severity of illness, expected risk of mortality, and complexity of care by improving the quality of the physician’s clinical documentation .

Posted 4/2/2026full-timeRemote • 🇺🇸 United StatesMid-LevelSenior💰 $56 - $74 per hourWebsite

About the role

Key responsibilities & impact

Reviews clinical documentation to facilitate the accurate representation of the severity of illness, expected risk of mortality, and complexity of care by improving the quality of the physician’s clinical documentation
Initiates medical record review within 24 to 48 hours of admission
Monitors, systematically, the targeted medical records within at least 48 hours unless otherwise indicated to determine compliance to established documentation standards
Conducts follow-up reviews to ensure points of clarification have been addressed/documented in the medical record

Requirements

What you’ll need

Bachelor’s degree in Nursing, Medicine, Health Information Management or similarly related field of study or equivalent combination of education and experience
Five (5) years of progressively responsible and directly related inpatient clinical experience
0 – 2 years of CDI related work experience ICU/ED and Academic Medical Center experience preferred
Case management, utilization review and/or direct provider interaction experience, preferred

Benefits

Comp & perks

Health insurance
401(k)
Paid time off
Flexible working hours

ATS Keywords

✓ Tailor your resume

Applicant Tracking System Keywords

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

Hard Skills & Tools

clinical documentation reviewmedical record reviewdocumentation standards compliancecase managementutilization review

Soft Skills

attention to detailanalytical skillscommunication skillsinterpersonal skills