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Cdis Jobs (NOW HIRING)

Facilitates initial onboarding process of all concurrent review CDIS to ensure proper understanding of overall workflow process, expectations, and established access * Reviews the productivity report ...

Individuals may be referred from CDF to CDIS for continued support in their stabilization as this is an up to 14-day stay. The On-Call Mental Health Professional works under the direction of the ...

Medical Coder

Annapolis, MD · On-site

$30 - $40/hr

Sends coding queries to providers and communicates with CDIS' when provider queries are clinical in nature. 3. Monitors assigned work on a daily basis in order to facilitate the billing process ...

Medical Coder

Annapolis, MD · On-site

$18.50 - $24.75/hr

Sends coding queries to providers and communicates with CDIS' when provider queries are clinical in nature. 3. Monitors assigned work on a daily basis in order to facilitate the billing process ...

Medical Coder

Annapolis, MD · On-site

$18.50 - $24.75/hr

Sends coding queries to providers and communicates with CDIS' when provider queries are clinical in nature. 3. Monitors assigned work on a daily basis in order to facilitate the billing process ...

Medical Coder

Annapolis, MD · On-site

$18.50 - $24.75/hr

Sends coding queries to providers and communicates with CDIS' when provider queries are clinical in nature. 3. Monitors assigned work on a daily basis in order to facilitate the billing process ...

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Cdis information

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How much do cdis jobs pay per month?

As of Jun 30, 2026, the average monthly pay for cdis in the United States is $4,498.50, according to ZipRecruiter salary data. Most workers in this role earn between $3,625.00 and $4,791.67 per month, depending on experience, location, and employer.

What are some typical challenges a Clinical Documentation Improvement Specialist (CDIS) faces when reviewing medical records?

Clinical Documentation Improvement Specialists often encounter challenges such as incomplete or ambiguous documentation, time constraints for concurrent reviews, and the need to effectively communicate with physicians to clarify diagnoses. These professionals must balance accuracy and compliance while fostering positive relationships with clinical staff to ensure documentation accurately reflects the patient's clinical picture. Staying current with evolving coding guidelines and regulatory requirements is also a continuous challenge in this dynamic healthcare role.

What are the key skills and qualifications needed to thrive as a Clinical Documentation Improvement Specialist (CDIS), and why are they important?

To thrive as a Clinical Documentation Improvement Specialist (CDIS), you need a strong background in healthcare, medical coding, and clinical terminology, often supported by a nursing or HIM degree and relevant certifications like CCDS or CDIP. Familiarity with electronic health records (EHRs), coding systems (ICD-10, DRG), and CDI software is crucial. Excellent communication, analytical thinking, and attention to detail help in effectively collaborating with physicians and ensuring accurate documentation. These skills are vital for improving patient care quality, ensuring regulatory compliance, and optimizing hospital reimbursement.

How to get into CDI with no experience?

To start as a CDI (Clinical Documentation Improvement) specialist with no experience, focus on gaining relevant knowledge through online courses or certifications in medical coding, healthcare documentation, or health information management. Entry-level positions may require strong attention to detail, basic understanding of medical terminology, and proficiency with electronic health record systems; internships or volunteer roles can also provide valuable experience.

How much does a CDI specialist make?

A CDI (Clinical Documentation Improvement) specialist's average salary varies based on experience and location, but in general, they earn between $60,000 and $80,000 annually. Certification and proficiency with electronic health records can influence salary levels.

What does a CDIS do?

A CDIS (Certified Dementia Practitioner or Certified Disability Information Specialist) provides support, education, and resources to individuals with disabilities or dementia. They often work in healthcare or social services, assisting with care plans, documentation, and ensuring compliance with regulations. Certification and strong communication skills are typically required for this role.

What jobs pay $10,000 a month without a degree?

Jobs that can pay $10,000 a month without a degree often include roles such as sales managers, real estate brokers, commercial pilots, or skilled trades like electricians and plumbers, especially with experience and certifications. These positions typically require strong skills, industry knowledge, and sometimes licensing or certification but not necessarily a college degree.

What are CDIs (Clinical Documentation Improvement Specialists)?

Clinical Documentation Improvement Specialists (CDIs) are healthcare professionals who review medical records to ensure that documentation accurately reflects the care provided to patients. Their work helps ensure that diagnoses, treatments, and outcomes are properly recorded, which is important for patient care, billing, and compliance with regulations. CDIs often work closely with physicians, nurses, and coding staff to clarify documentation, reduce errors, and improve the overall quality of health records. Their efforts support accurate reimbursement for healthcare services and contribute to patient safety and data integrity.

What is the difference between Cdis vs Data Analyst?

AspectCdisData Analyst
Required CredentialsTypically requires certifications like CompTIA Security+ or Cisco certificationsOften requires a bachelor's degree in data science, statistics, or related fields; certifications like Microsoft Data Analyst Associate are common
Work EnvironmentPrimarily in IT departments, focusing on cybersecurity, network security, and system monitoringMostly in business, finance, or marketing departments analyzing data to inform decisions
Employer & Industry UsageUsed in government, healthcare, and large corporations for security and compliance rolesUsed across industries for data interpretation, reporting, and strategic planning

While both roles involve technical skills, Cdis focuses on cybersecurity and system security, whereas Data Analysts concentrate on interpreting data to support business decisions. The roles may overlap in data security and analysis, but their core responsibilities and required credentials differ significantly.

More about Cdis jobs
What cities are hiring for Cdis jobs? Cities with the most Cdis job openings:
What states have the most Cdis jobs? States with the most job openings for Cdis jobs include:
Infographic showing various Cdis job openings in the United States as of June 2026, with employment types broken down into 78% Full Time, 12% Part Time, 4% Temporary, 2% Contract, and 4% Nights. Highlights an 76% Physical, and 24% Remote job distribution, with an average salary of $53,982 per year, or $26 per hour.
Clinical Documentation Improvement Specialist (FT- 1.0 FTE, Day Shift, Remote Possible)

Clinical Documentation Improvement Specialist (FT- 1.0 FTE, Day Shift, Remote Possible)

Bozeman Health

Remote

$35.50 - $47.75/hr

Full-time

Posted 6 days ago


Key responsibilities

  • Conduct concurrent reviews of inpatient medical records to ensure accurate, complete, and ethical documentation and coding.

  • Collaborate with healthcare professionals to clarify documentation and resolve physician queries to support coding compliance and accurate DRG assignment.

  • Identify documentation improvement opportunities, provide education to clinical staff, and generate reports to track documentation trends and CDI effectiveness.


Bozeman Health rating

7.6

Company rating: 7.6 out of 10

Based on 22 frontline employees who took The Breakroom Quiz


Job description

This position can be remote. Please review the approved remote states below.
Remote Work Approved States:
Arizona
Florida
Georgia
Idaho
Iowa
South Dakota
Texas
South Carolina
Wisconsin
North Carolina
Michigan
*If your state is not listed, you must relocate to Montana or one of the approved states above to be eligible for this position.
Position Summary:
The Clinical Documentation Improvement Specialist (CDIS) conducts concurrent reviews of inpatient medical records to enhance the quality, accuracy, and completeness of documentation. Utilizing clinical expertise and current coding systems (ICD-10-CM & PCS), the CDIS ensures proper code assignment and alignment with the patient's clinical condition and care provided. The role involves collaborating with providers through education and the physician query process to support severity of illness, quality metrics, and regulatory compliance. Additionally, the CDIS maintains expertise in coding principles, government regulations, and third-party requirements while serving as a resource for clinicians, coders, and Revenue Cycle teams.
Minimum Qualifications:
Required
  • Bachelor's degree in Nursing (RN) with current Registered Nurse (RN) licensure; OR
  • Graduate of an accredited or equivalent international medical program or advanced medical program (MD, DO, NP, MBBS or equivalent); OR
  • Ten (10) years of experience in Clinical Documentation Improvement (CDI) in an acute care setting
  • At least one of the following CDI or coding credentials/certifications:
    • Certified Coding Specialist (CCS)
    • Certified Clinical Documentation Specialist (CCDS)
    • Certified Documentation Improvement Practitioner (CDIP)
    • Registered Health Information Administrator (RHIA)
    • Registered Health Information Technician (RHIT)

Preferred
  • Three (3) years of experience in one of the following areas:
    • Medical/Surgical or Critical Care nursing.
    • Clinical Documentation Improvement (CDI) or Inpatient Coding in an acute care setting.
  • Experience with Epic and 3M 360 Encoder systems.

Essential Job Functions:
In addition to the essential functions of the job listed below, employees must have on-time completion of all required education as assigned per DNV requirements, Bozeman Health policy, and other registry requirements.
  • Ensure ethical, accurate, and complete coding by adhering to current coding practices, guidelines, and conventions when assigning DRGs, diagnoses, and procedures.
  • Conduct concurrent medical record reviews for inpatient admissions, assigning a working principal diagnosis, secondary diagnoses, procedures, and DRG.
  • Follow CDI processes for querying providers, reconciling DRG or diagnosis assignments with facility coders, and resolving physician queries before patient discharge.
  • Collaborate with healthcare professionals, including physicians, advanced practice providers, case managers, and coders, to ensure documentation accurately reflects severity of illness, risk of mortality, and level of services provided.
  • Utilize designated clinical documentation systems (e.g., 3M 360, Epic) to identify documentation improvement opportunities and enhance hospital outcomes.
  • Identify medical record data integrity issues and escalate concerns related to coding, CDI functions, or electronic health record (EHR) systems to the appropriate department.
  • Maintain compliance with HIPAA regulations to ensure data security and patient confidentiality.
  • Participate in team, clinician, and interdepartmental meetings, as well as training, shadowing, and education initiatives for staff related to compliance, coding, and CDI best practices.
  • Provide education and act as a consultant to coders and clinical staff when additional documentation or clarification is needed for accurate DRG assignment and coding compliance.
  • Identify and recommend process improvements and efficiencies within CDI and coding workflows while monitoring and reporting patterns, trends, and variances in documentation.
  • Generate scheduled reports and other reports as requested to track CDI effectiveness and documentation trends.
  • Stay up to date with CMS regulations and industry best practices, researching literature and incorporating changes into daily CDI practice.
  • Meet productivity and quality standards as designated by the System Manager of CDI and complete special projects as assigned.

Knowledge, Skills and Abilities
  • Demonstrates sound judgment, patience, and maintains a professional demeanor at all times
  • Exercises tact, discretion, sensitivity, and maintains confidentiality
  • Performs essential job functions successfully in a busy and stressful environment
  • Learns current and new computer applications and office equipment utilized at Bozeman Health
  • Strong interpersonal, verbal, and written communication skills
  • Analyzes, organizes, and prioritizes work while meeting multiple deadlines

Schedule Requirements
  • This role requires regular and sustained attendance.
  • The position may necessitate working beyond a standard 40-hour workweek, including weekends and after-hours shifts.
  • On-call work may be required to respond promptly to organizational, patient, or employee needs.

Physical Requirements
  • Lifting (Rarely - 30 pounds): Exerting force and/or using a negligible amount of force to lift, carry, push, pull, or otherwise move objects or people.
  • Sit (Continuously): Maintaining a sitting posture for extended periods may include adjusting body position to prevent discomfort or strain.
  • Stand (Occasionally): Maintaining a standing posture for extended periods may include adjusting body position to prevent discomfort or strain.
  • Walk (Occasionally): Walking and moving around within the work area requires good balance and coordination.
  • Climb (Rarely): Ascending or descending ladders, stairs, scaffolding, ramps, poles, and the like using feet and legs; may also use hands and arms.
  • Twist/Bend/Stoop/Kneel (Occasionally): Twisting, bending, stooping, and kneeling require flexibility and a wide range of motion in the spine and joints.
  • Reach Above Shoulder Level (Occasionally): Lifting, carrying, pushing, or pulling objects as necessary above the shoulder, requiring strength and stability.
  • Push/Pull (Occasionally): Using the upper extremities to press or exert force against something with steady force to thrust forward, downward, or outward.
  • Fine-Finger Movements (Continuously): Picking, pinching, typing, or otherwise working primarily with fingers rather than using the whole hand as in handling.
  • Vision (Continuously): Close visual acuity to prepare and analyze data and figures and to read computer screens, printed materials, and handwritten materials.
  • Cognitive Skills (Continuously): Learn new tasks, remember processes, maintain focus, complete tasks independently, and make timely decisions in the context of a workflow.
  • Exposures (Rarely): Bloodborne pathogens, such as blood, bodily fluids, or tissues. Radiation in settings where medical imaging procedures are performed. Various chemicals and medications are used in healthcare settings. Job tasks may involve handling cleaning products, disinfectants, and other substances. Infectious diseases due to contact with patients in areas that may have contagious illnesses.

*Frequency Key: Continuously (100% - 67% of the time), Repeatedly (66% - 33% of the time), Occasionally (32% - 4% of the time), Rarely (3% - 1% of the time), Never (0%).
The above statements are intended to describe the general nature and level of work being performed by people assigned to the job classification. They are not to be construed as a contract of any type nor an exhaustive list of all job duties performed by the personnel so classified.
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