Clinical Documentation Specialist – Level 3
Posted 2026-05-06
Remote, USA
Full-time
Immediate Start
- Job Description:
- Provides clinical based review and analysis of the documentation in the patient’s medical record
- Supports accurate capture of patient’s complexity and severity of illness
- Utilizes queries of medical staff and other caregivers to clarify and support completeness of documentation
- Collaborates with physician, mid-level providers, and medical records coders to identify principal and secondary diagnoses
- Conducts initial and ongoing concurrent and some retrospective reviews for system wide admissions
- Initiates tracking process and documents findings on EHR tracking system
- Communicates with providers to capture accurate documentation of patient’s severity of illness
- Requirements:
- Minimum of five (5) years recent CDIS experience
- Proficient use of EPIC and 3M 360 Encompass software programs
- Current Oregon RN License
- CCDS (Certified Clinical Documentation Specialist) or CDIP (Certified Documentation Improvement Practitioner)
- As required by licensure for RN.
- Benefits:
- Competitive Salary
- Comprehensive benefits including Medical, Dental, Vision for you and your immediate family
- 403b with up to 6% match on Retirement Contributions
- Generous Earned Time Off
- Growth Opportunities within Healthcare