Lead Clinical Documentation Specialist

This is a fully remote position, open to applicants in United States.

📋 Description

• The Lead Clinical Document Specialist (CDS) – Rapid Response acts as a top-tier expert in clinical documentation integrity, tasked with resolving urgent, complex, or significant issues within the CDI program. This position supports strategic initiatives, conducts rapid-cycle audits, and investigates documentation and coding discrepancies in real-time. The Rapid Response Lead collaborates across departments to enhance accurate documentation, coding integrity, and risk adjustment capture while facilitating training, compliance, and data-driven decision-making.

• Serve as the main resource for urgent CDI concerns (e.g., payer denials, audits, DRG validation). Address immediate system requirements (e.g., high denial rates, quality issues, new coding regulations).

• Mentor front-line CDSs on challenging cases, query formulation, and escalation processes. Analyze documentation and coding data for patterns and areas of improvement.

• Spearhead and ensure compliance with strategic CDI initiatives across various markets/systems. Assess strategic outcomes and recommend pathways for implementation.

• CCDS Certified

⛳️ Requirements

• Clinical Documentation Prof. credentialed from the Association of Clinical Documentation Improvement Specialists, obtained prior to the hire date or job transfer date.

• High School diploma equivalency with 2 years of cumulative experience OR Associate's degree/Bachelor's degree with 1 year of experience OR 5 years of relevant cumulative job-specific experience required. 2 years of leadership or management experience is preferred.

• Experience in a leadership role.

• Project Management experience.

• CCDS Certified

🏝️ 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.