Ascension · 13 hours ago
Clinical Documentation Specialist
United States
Full-time
Remote
Mid Level
$75K/yr - $1,048K/yr
4+ years expAscension is a leading nonprofit Catholic health system that empowers its associates to reimagine healthcare. The Clinical Documentation Specialist is responsible for improving the quality and accuracy of medical record documentation and collaborating with healthcare professionals to ensure proper reflection of services provided.
CharityHealth CareHospitalNon Profit
Responsibilities
Facilitate improvement in overall quality, completeness and accuracy of medical record documentation
Complete admission reviews and assigns a working Diagnosis Related Group. Ensures the working DRG and other information are entered in the Clinical Documentation Improvement database
Initiate and maintain extensive interactions with physicians and mid-level providers to address the need for more detailed information in the medical record
Collaborate with healthcare professionals to ensure the severity of illness and level of services provided are accurately reflected in the medical record and to resolve physician queries and documentation issues prior to patient's discharge
Maintain accurate records of review activities, ensuring reports and outcomes of CDI efforts are valid
Qualification
Required
RN License Required
One or more of the following required: Certified Coding Specialist (CCS) credentialed from the American Health Information Management Association (AHIMA) obtained prior to hire date or job transfer date
Reg Health Info Admnstr credentialed from the American Health Information Management Association (AHIMA) obtained prior to hire date or job transfer date
Reg Health Info Tech credentialed from the American Health Information Management Association (AHIMA) obtained prior to hire date or job transfer date
Certified Professional Coder (CPC) credentialed from the American Academy of Professional Coders (AAPC) obtained prior to hire date or job transfer date
Clinical Documentation Prof. credentialed from the Association of Clinical Documentation Improvement Specialists obtained prior to hire date or job transfer date
Registered Nurse credentialed from the Wisconsin Board of Nursing obtained prior to hire date or job transfer date. Licensure from the Wisconsin Board of Nursing OR current home state license if considered multi-state/Compact State
High School diploma equivalency with 2 years of cumulative experience OR Associate's degree/Bachelor's degree OR 4 years of applicable cumulative job specific experience required
Preferred
5+ years ED and/or ICU experience strongly preferred
Benefits
Comprehensive health coverage: medical, dental, vision, prescription coverage and HSA/FSA options
Financial security & retirement: employer-matched 403(b), planning and hardship resources, disability and life insurance
Time to recharge: pro-rated paid time off (PTO) and holidays
Career growth: Ascension-paid tuition (Vocare), reimbursement, ongoing professional development and online learning
Emotional well-being: Employee Assistance Program, counseling and peer support, spiritual care and stress management resources
Family support: parental leave, adoption assistance and family benefits
Other benefits: optional legal and pet insurance, transportation savings and more
Company
Ascension
Answering God's call to bring health, healing and hope to all.
10001+ employees
H1B Sponsorship
Ascension has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (11)
2024 (7)
2023 (1)
2022 (3)
Funding
Current Stage
Late StageTotal Funding
unknown2025-04-03Acquired
Leadership Team
Eduardo Conrado
President and CEO
Kramer Schmidt
Vice President, Consumer Product Dates Employed
Recent News
San Bernardino Sun
2025-12-29
MarketScreener
2025-10-03
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