Clinical Documentation Specialist, Audit Coordinator

Trinity Health

Clinical Documentation Specialist providing CDI support remotely for Trinity Health, enhancing clinical documentation integrity. Responsible for auditing records and training end users in CDI systems.

Posted 6/19/2026full-timeRemote • Missouri • 🇺🇸 United StatesMid-LevelSenior💰 $41,430 - $62,145 per yearWebsite

About the role

Key responsibilities & impact

Provides onsite and remote clinical documentation integrity (CDI) support to the Health Ministry (HM) CDI programs as part of the System Office CDI Float Pool.
Utilizes advanced coding and/or clinical expertise to direct efforts toward the improvement and integrity of clinical documentation.
Responsible for reviewing and/or auditing medical record clinical documentation to support the medical necessity, severity of illness, risk of mortality, accurate coding, clinical evidence, resources consumed, and level of services rendered to all patients.
Audits HM CDSs for query compliance, workflow and missed documentation opportunities.
Trains end users in the use of CDI system software, standards, and workflow.
Demonstrates understanding of and facilitates appropriate clinical documentation to ensure that the medical necessity, severity of illness, risk of mortality, accurate coding, clinical evidence, resources consumed, and level of services provided are accurately reflected in the health record.
Conducts clinical documentation chart reviews and queries providers as appropriate to support RHMs staffing needs.
Reviews may be conducted on site or remotely.
Follows HM CDI Program workflow and processes and communicates with local CDI Team to support local operations.
Communicates with physicians and other members of the healthcare team at the HM regarding clinical documentation as part of local CDI Team assignment.
Audits medical records, queries, CDS and coder assigned codes, CDI software entries, etc., as requested to provide feedback to the HMs for improvement opportunities.
Trains end users in the use of CDI system software, standards, and workflow.
Provides documentation education to providers and members of healthcare team at the RHM as part of CDI Team assignment or as requested.
Demonstrates ability to quickly learn and master the various CDI technology applications, systems and workflows in place across the enterprise.
Provides expertise in problem-solving skills based on theoretical knowledge, clinical experience and sound judgment and serves as a professional role model by demonstrating desirable practice behaviors.
Assists the System Office Clinical Documentation Manager with all aspects of the CDI program across the system including data collection and maintenance of the CDI Dashboard.
May develop educational content for providers and CDSs on CDI workflow and processes, CDI and Physician software systems, and documentation and coding guidelines as requested.
Performs other duties as assigned by leadership.

Requirements

What you’ll need

Current Registered Nurse License, Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT), Certified Coding Specialist (CCS) Certification as a Clinical Documentation Specialist (CCDS) or Certified Documentation Improvement Professional (CDIP) preferred.
Experience in Clinical Documentation Integrity.
Excellent communication (verbal and written), interpersonal, collaboration and relationship-building skills.
Strong critical thinking skills and ability to integrate knowledge.
Prioritization and organizational skills required.
Ability to educate all members of the healthcare team related to clinical documentation.
Experience with databases, spreadsheet software and presentation software preferred.
Must be comfortable operating independently in a collaborative, shared leadership environment.
Must possess a personal presence that is characterized by a sense of honesty, integrity, and caring with the ability to inspire and motivate others to promote the philosophy, mission, vision, goals, and values of Trinity Health.

Benefits

Comp & perks

🌐 Worldwide ❌ Jobs You've Hidden ⭐️ Saved Jobs ✅ Applied Jobs ✉️ Email Alerts 👤 Account Trinity Health Website LinkedIn All Job Openings 10,000+ employees 📚 Education 🤝 Non-profit 🌍 Social Impact Education
Non-profit
Social Impact Trinity Health is a Christian K-12 educational institution located in Wichita, Kansas, dedicated to providing a Christ-centered education that nurtures spiritual growth and academic excellence. The academy emphasizes the importance of faith in students' lives, integrating spiritual development with rigorous academic programs and a broad array of extracurricular activities, including athletics and fine arts. Trinity Health fosters a supportive community where teachers and families collaborate to help students develop a personal relationship with Jesus Christ and excel in their studies. Clinical Documentation Specialist, Audit Coordinator 🔥 1 hour ago 🚗 Michigan – Remote 💵 $41.4k - $62.1k / year ⏰ Full Time 🟡 Mid-level 🟠 Senior 🏥📝 Medical Writer 🦅 H1B Visa Sponsor Apply Now Find Hiring Managers Customize resume + cover letter Report problem ☆ Save ☑️ Mark as applied ❌ Hide 📋 Description
Provides onsite and remote clinical documentation integrity (CDI) support to the Health Ministry (HM) CDI programs as part of the System Office CDI Float Pool.
Utilizes advanced coding and/or clinical expertise to direct efforts toward the improvement and integrity of clinical documentation.
Responsible for reviewing and/or auditing medical record clinical documentation to support the medical necessity, severity of illness, risk of mortality, accurate coding, clinical evidence, resources consumed, and level of services rendered to all patients.
Audits HM CDSs for query compliance, workflow and missed documentation opportunities.
Trains end users in the use of CDI system software, standards, and workflow.
Demonstrates understanding of and facilitates appropriate clinical documentation to ensure that the medical necessity, severity of illness, risk of mortality, accurate coding, clinical evidence, resources consumed, and level of services provided are accurately reflected in the health record.
Conducts clinical documentation chart reviews and queries providers as appropriate to support RHMs staffing needs.
Reviews may be conducted on site or remotely.
Follows HM CDI Program workflow and processes and communicates with local CDI Team to support local operations.
Communicates with physicians and other members of the healthcare team at the HM regarding clinical documentation as part of local CDI Team assignment.
Audits medical records, queries, CDS and coder assigned codes, CDI software entries, etc., as requested to provide feedback to the HMs for improvement opportunities.
Trains end users in the use of CDI system software, standards, and workflow.
Provides documentation education to providers and members of healthcare team at the RHM as part of CDI Team assignment or as requested.
Demonstrates ability to quickly learn and master the various CDI technology applications, systems and workflows in place across the enterprise.
Provides expertise in problem-solving skills based on theoretical knowledge, clinical experience and sound judgment and serves as a professional role model by demonstrating desirable practice behaviors.
Assists the System Office Clinical Documentation Manager with all aspects of the CDI program across the system including data collection and maintenance of the CDI Dashboard.
May develop educational content for providers and CDSs on CDI workflow and processes, CDI and Physician software systems, and documentation and coding guidelines as requested.
Performs other duties as assigned by leadership. 🎯 Requirements
Current Registered Nurse License, Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT), Certified Coding Specialist (CCS) Certification as a Clinical Documentation Specialist (CCDS) or Certified Documentation Improvement Professional (CDIP) preferred.
Experience in Clinical Documentation Integrity.
Excellent communication (verbal and written), interpersonal, collaboration and relationship-building skills.
Strong critical thinking skills and ability to integrate knowledge.
Prioritization and organizational skills required.
Ability to educate all members of the healthcare team related to clinical documentation.
Experience with databases, spreadsheet software and presentation software preferred.
Must be comfortable operating independently in a collaborative, shared leadership environment.
Must possess a personal presence that is characterized by a sense of honesty, integrity, and caring with the ability to inspire and motivate others to promote the philosophy, mission, vision, goals, and values of Trinity Health. Apply Now 📊 Check your resume score for this job Improve your chances of getting an interview by checking your resume score before you apply. Check Resume Score Similar Jobs DRG Clinical Documentation Educator 🔥 2 hours ago Ensemble Health Partners 5001 - 10000 ⚕️ Healthcare Insurance ☁️ SaaS 🏢 Enterprise Website LinkedIn All Job Openings DRG Clinical Documentation Educator at Ensemble providing training and education to ensure accurate documentation for coding. Focused on developing processes and mentoring staff to meet compliance standards. 🇺🇸 United States – Remote 💵 $69.4k - $119.7k / year 💰 Private Equity Round on 2022-03 ⏰ Full Time 🟡 Mid-level 🟠 Senior 🏥📝 Medical Writer Clinical Documentation Specialist – CDI 🔥 9 hours ago Solventum 10,000+ employees ⚕️ Healthcare Insurance 📚 Education 🧘 Wellness Website LinkedIn All Job Openings CDI Specialist reviewing inpatient medical records at Solventum for coding accuracy and documentation quality. Collaborating with healthcare teams to maintain compliance and support reimbursement. 🇺🇸 United States – Remote 💵 $96k - $132k / year ⏰ Full Time 🟠 Senior 🔴 Lead 🏥📝 Medical Writer Medical Writer 🕒 Yesterday Verisk 5001 - 10000 Website LinkedIn All Job Openings Medical Writer role in Claims Solutions drafting Medicare Set Asides and ensuring narrative consistency. Collaborating with a team to review medical records for accuracy and compliance. 🇺🇸 United States – Remote 💵 $55k - $57k / year 💰 $500M Post-IPO Debt on 2023-03 ⏰ Full Time 🟡 Mid-level 🟠 Senior 🏥📝 Medical Writer 🦅 H1B Visa Sponsor Clinical Documentation Integrity Specialist II 🕒 2 days ago University Hospitals 10,000+ employees 📚 Education Website LinkedIn All Job Openings CDI Specialist responsible for the integrity and completeness of clinical documentation in medical records. Collaborates with healthcare providers to ensure accurate reflection of patient complexity and resource utilization. 🇺🇸 United States – Remote 💰 $2M Grant on 2021-07 ⏰ Full Time 🟢 Junior 🟡 Mid-level 🏥📝 Medical Writer 🦅 H1B Visa Sponsor Senior Medical Writer – Medical Affairs 🕒 5 days ago Red Nucleus 501 - 1000 ⚕️ Healthcare Insurance 🧬 Biotechnology 💊 Pharmaceuticals Website LinkedIn All Job Openings Senior Medical Writer responsible for developing medical content for pharmaceutical clients. Collaborating with teams to ensure scientific integrity and client needs are met. 🇺🇸 United States – Remote ⏰ Full Time 🟠 Senior 🏥📝 Medical Writer 🦅 H1B Visa Sponsor View More Medical Writer Jobs 🌐 Worldwide Built by Lior Neu-ner. I'd love to hear your feedback — Get in touch via DM or support@remoterocketship.com Search Search Jobs by country Search jobs by city Search jobs by job title Search entry-level jobs Search junior-level jobs Search senior-level jobs Search jobs by tech stack Search jobs by contract type Search remote internships Search remote part-time jobs Remote jobs Anywhere in the World Companies Hiring Anywhere in the World Companies Hiring Sales People Anywhere in the World Companies Hiring Software Engineers Anywhere in the World Resources Advice Tips for finding remote jobs Interview questions and answers Resume examples Cover letter examples Post a job Affiliates Privacy policy Terms of service Job board SEO course AI Apply Copilot OpenClaw job finder Jobs by Country Remote jobs anywhere in the world (Worldwide remote jobs) Remote jobs United States Remote jobs Australia Remote jobs Brazil Remote jobs Canada Remote jobs France Remote jobs Ireland Remote jobs Germany Remote jobs Netherlands Remote jobs Spain Remote jobs UK Popular Jobs Remote data analyst jobs Remote customer support jobs Remote executive assistant jobs Remote marketing jobs Remote product designer jobs Remote product manager jobs Remote project manager jobs Remote recruiter jobs Remote sales jobs Remote software engineer jobs Jobs by Type Remote full-time jobs Remote part-time jobs Remote contract jobs Remote internship jobs Remote entry-level jobs Remote jobs with no experience required Remote junior jobs (1-3 years of experience) Digital nomad jobs Remote jobs with no degree required Freelance remote jobs Temporary remote jobs Remote jobs hiring now Stay at home mom jobs

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 integritycoding expertisemedical record auditingclinical documentation chart reviewsquery complianceCDI software proficiencydocumentation educationdata collectionCDI Dashboard maintenanceproblem-solving skills

Soft Skills

communication skillsinterpersonal skillscollaboration skillsrelationship-building skillscritical thinking skillsprioritization skillsorganizational skillseducational skillsindependent operationintegrity

Certifications

Registered Nurse LicenseRegistered Health Information Administrator (RHIA)Registered Health Information Technician (RHIT)Certified Coding Specialist (CCS)Clinical Documentation Specialist (CCDS)Certified Documentation Improvement Professional (CDIP)