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How much do clinical documentation integrity jobs pay per hour?

As of Sep 9, 2026, the average hourly pay for clinical documentation integrity in the United States is $39.30, according to ZipRecruiter salary data. Most workers in this role earn between $33.41 and $44.95 per hour, depending on experience, location, and employer.

What is a clinical documentation integrity?

A Clinical Documentation Integrity (CDI) job involves reviewing medical records to ensure accurate, complete, and compliant documentation. CDI professionals work closely with physicians, coders, and healthcare teams to clarify diagnoses, procedures, and other essential details. Their role helps improve patient care, optimize reimbursements, and support regulatory compliance. Effective documentation also enhances data quality for research and reporting.

What are some typical challenges faced in a clinical documentation integrity role?

Professionals in Clinical Documentation Integrity often encounter challenges such as bridging communication gaps between clinical staff and coders, staying updated on constantly evolving healthcare regulations, and ensuring documentation accuracy under tight deadlines. The role requires balancing the needs for thorough clinical detail with the practicalities of busy healthcare environments. You may also need to educate or coach providers on best documentation practices to improve compliance and quality metrics. Successfully navigating these challenges is a rewarding way to directly impact patient care standards and organizational financial health.

What are the key skills and qualifications needed to thrive in the clinical documentation integrity position, and why are they important?

To thrive in Clinical Documentation Integrity, you need a strong background in medical coding, clinical terminology, and healthcare regulations, often supported by an RHIA, RHIT, or CCS certification. Familiarity with electronic health record (EHR) systems, coding software, and quality assurance tools is critical for day-to-day responsibilities. Attention to detail, analytical thinking, and effective communication are key soft skills for collaborating with clinicians and ensuring thorough documentation. These skills are essential for ensuring accurate patient records, compliance with regulations, and the optimization of healthcare reimbursement.

Is clinical documentation integrity a stressful job?

Clinical Documentation Integrity (CDI) roles can be demanding due to the need for accuracy, attention to detail, and meeting strict deadlines. The job often involves reviewing complex medical records and collaborating with healthcare providers, which can contribute to stress levels, especially during high workload periods or audits.

What does a clinical documentation integrity specialist do?

A clinical documentation integrity specialist reviews and improves the accuracy and completeness of patient medical records to ensure proper coding and reimbursement. They collaborate with healthcare providers, analyze medical documentation, and use coding standards and electronic health record systems to support clinical and financial outcomes.
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Clinical Documentation Integrity jobs near you
Infographic showing various Clinical Documentation Integrity job openings in the United States as of September 2026, with employment types broken down into 81% Full Time, and 19% Part Time. Highlights an 94% In-person, and 6% Remote job distribution, with an average salary of $81,742 per year, or $39.3 per hour.

Remote - Clinical Documentation Integrity Specialist

Saint Joseph, MO • On-site, Remote

Mosaic Life Care
Health Care and Social Assistance • 1 - 5K employees
Learn more about Mosaic Life Careexternal

$33.50 - $45.25/hr

Full-time

Medical, Vision, Life

This job post has expired today. Applications are no longer accepted.

Mosaic Life Care rating

6.8

Company rating: 6.8 out of 10

Based on 64 frontline employees who took The Breakroom Quiz

495th of 898 rated healthcare providers

Job description


Candidates residing in the following states will be considered for remote employment: Alabama, Colorado, Florida, Georgia, Idaho, Indiana, Iowa, Kansas, Kentucky, Minnesota, Missouri, Mississippi, Nebraska, North Carolina, Oklahoma, Texas, Utah, and Virginia. Remote work will not be permitted from any other state at this time
Works under the supervision of the Manager to complete basic to intermediate CDI reviews and re-reviews, submit queries to providers, complete first and second appeal levels. This position evaluates and partners with physician advisor on first and second level appeals, denial tracking. Rounding on patients, mortality reviews and second level reviews are also performed. Review and ICD-10-CM/PCS codes are assigned and appropriate DRG based on Official Coding Guidelines.
Responsibilities
  • Conducts basic to intermediate initial, concurrent and retrospective reviews of clinical documentation for all selected admissions to initiate the tracking process and document findings. Abstracts data from concurrent and retrospective charts, as well as computerized data systems using documentation, Official Coding Guidelines and Official Query Guidelines.
  • Assigns and updates ICD-10-CM/PCS codes and baseline and working MS-DRG and APR-DRG DRG for accounts, reviewing in a timely manner and documenting thoroughly in clinical documentation integrity system.
  • Identifies need to clarify documentation in records and initiates communication with provider utilizing the appropriate query tools in order to capture the documentation in the medical record that accurately supports the patient's severity of illness and risk of mortality.
  • Reviews clinical validation denials and analyzes for appeal recommendation. Writes first and second level denial appeals in collaboration with physician advisor. Completes second level review including mortality reviews and quality reviews.
  • Participates in staff training and departmental improvement activities and uses the results of the quality of quality audits to initiate change in practice. Communicates with coders to ensure that the correct DRG is assigned to each case; receives feedback as a means of continuous self-improvement
  • Collaborates with other members of the interdisciplinary team to achieve accurate documentation for coding (example: rounds with physicians, attends team conference).
  • Assumes responsibility for professional development by participating in educational opportunities via webinars, online education and online meetings.
  • Achieves CDI quality and productivity goals.
  • Other duties as assigned

Education
  • Associate's Degree - Nursing - Required
  • Bachelor's Degree - Nursing - Preferred

Work Experience
  • 3 Years - Clinical experience in an ICU/Critical Care acute care setting - Required
  • 1 Year - Experience in clinical documentation integrity functions - Preferred

Licenses and Certifications
  • Registered Nurse (RN) - State Licensure/Or Compact State Licensure - State Licensure/Or Compact State Licensure in state, depending upon designated work location - Required Upon Hire
  • Certified Clinical Documentation Specialist (CCDS) - Required within 2 Years Or
  • Certified Documentation Improvement Practitioner (CDIP) - Required within 2 Years

Qualifications
Skills and Abilities
Essential Technical/Motor Skills
  • Input and retrieve data, speaking clearly, answering phones, precise hand\eye coordination, fine motor skills and good writing skills.
  • Clinical skills.

Interpersonal Skills
  • Ability to work with interruptions, and flexibility in hours and workflow, foster teamwork and promote service and quality.
  • Excellent communication and critical thinking skills.

Essential Physical Requirements
  • Prolonged time spent looking at computer screen and keyboarding, sitting.

Essential Mental Abilities
  • Knowledge of care delivery documentation systems and related medical record documents.
  • Knowledge of age-specific needs and the elements of disease processes and related processes.
  • Read and interpret from the medical record, analyze encoder instructions, understand documentation.
  • Function independently and have follow through skills, detail oriented. Ability to prioritize work.

Essential Sensory Requirements
  • Visual, hearing.

Exposure to Hazards
Other Skills and Abilities
About Us
Mosaic Life Care is a health care system in northwest Missouri. With a vision of transforming community health by being a life-care innovator, Mosaic places the holistic needs of patients first by providing the right care at the right time and place, offering high value and quality health care.
Mosaic has a wide array of benefits to meet each employee's individual needs. Our benefits were designed by listening to people just like you. Mosaic also offers several perks with a focus on ensuring our employees feel valued, including concierge services, employee lounge, wellness programs, free covered parking, free on-site and virtual health clinics and many more. When paired with compensation and recognition, it is what continues to make us the employer of choice for employees at any stage of their journey.

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