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Clinical Documentation Specialist Rn Jobs (NOW HIRING)

Blaze Health

Clinical Documentation Specialist

$33.26 - $49.88/hr

Clinical Documentation SpecialistRemote MN/WI Posting Date: Aug 18 2026 Apply now Back to search ... Requirements Education RN (BSN preferred) or RHIT/RHIA (Certified Coding Specialist (CCS) preferred ...

Quorum Health

Clinical Documentation Specialist

Brentwood, TN · On-site

$33 - $44.25/hr

Clinical Documentation Specialist Position Details: Full Time - Remote Reports to the National ... Current unrestricted RN, LPN/LVN, or other applicable clinical license required only when candidate ...

Quorum Health

Clinical Documentation Specialist

Brentwood, TN · On-site

$33 - $44.25/hr

Clinical Documentation Specialist Position Details: Full Time - Remote Reports to the National ... Current unrestricted RN, LPN/LVN, or other applicable clinical license required only when candidate ...

Guidehouse

Clinical Documentation Specialist

$61K - $101K/yr

The CDI Specialist is responsible for comprehensive secondary clinical chart reviews to identify ... One of the following: RN, MD, or MD Equivalent (MBBS) * 4+ years' experience providing direct ...

Guidehouse

Clinical Documentation Specialist

$74K - $124K/yr

The CDI Specialist is responsible for comprehensive secondary clinical chart reviews to identify ... One of the following: RN, MD, or MD Equivalent (MBBS) * 4+ years' experience providing direct ...

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How much do clinical documentation specialist rn jobs pay per hour?

As of Aug 21, 2026, the average hourly pay for clinical documentation specialist rn 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 Specialist RN?

A Clinical Documentation Specialist RN is a registered nurse who specializes in reviewing and improving the accuracy and quality of clinical documentation in patient medical records. Their main goal is to ensure that healthcare records reflect the full extent of care provided, which helps with patient care, coding, billing, and regulatory compliance. They often work closely with physicians, coders, and other healthcare staff to clarify documentation and provide education on best practices. This role requires strong clinical knowledge, attention to detail, and familiarity with healthcare regulations.

How does a Clinical Documentation Specialist RN typically collaborate with physicians and other healthcare providers?

Clinical Documentation Specialist RNs play a crucial role in ensuring the accuracy and completeness of patient records by working closely with physicians, nurses, and other healthcare providers. They often communicate directly with clinicians to clarify documentation, answer questions, and provide education on best practices for record-keeping. This collaboration helps ensure compliance with regulatory standards and supports accurate coding and billing. Building strong, respectful professional relationships and effective communication skills are essential for success in this collaborative environment.

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

To excel as a Clinical Documentation Specialist RN, you need a deep understanding of clinical care, medical terminology, and coding practices, typically supported by an active RN license and experience in acute care settings. Familiarity with electronic health record (EHR) systems, clinical documentation improvement (CDI) software, and certifications like CCDS (Certified Clinical Documentation Specialist) are highly valued. Outstanding attention to detail, strong analytical thinking, and effective communication skills are essential soft skills for collaborating with physicians and other healthcare staff. These competencies ensure the accuracy and completeness of patient records, which directly impacts patient care quality, compliance, and hospital reimbursement.

What is the difference between Clinical Documentation Specialist Rn vs Medical Records Coordinator?

AspectClinical Documentation Specialist RnMedical Records Coordinator
CredentialsRN license, clinical experienceHealth information management certification, administrative skills
Work EnvironmentHospitals, healthcare facilities, clinical settingsMedical records departments, healthcare offices
Employer & IndustryHospitals, clinics, healthcare providersHealthcare facilities, insurance companies, clinics
Search & Comparison IntentRoles involving clinical documentation and codingRecords management and data organization

The Clinical Documentation Specialist Rn focuses on improving clinical documentation accuracy, often requiring nursing credentials and clinical experience. In contrast, the Medical Records Coordinator manages patient records, emphasizing administrative and health information skills. Both roles are vital in healthcare but serve different functions within the medical documentation process.

Are clinical documentation specialist RNs in demand?

Clinical documentation specialist RNs are in demand due to the need for accurate medical records and compliance with healthcare regulations. The role often requires strong clinical knowledge, attention to detail, and familiarity with electronic health record systems, making it a valuable position in hospitals and healthcare organizations.
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What states have the most Clinical Documentation Specialist Rn jobs?

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Clinical Documentation Specialist Rn jobs near you
Infographic showing various Clinical Documentation Specialist Rn job openings in the United States as of August 2026, with employment types broken down into 2% As Needed, 71% Full Time, 22% Part Time, 4% Contract, and 1% Nights. Highlights an 93% Physical, 2% Hybrid, and 5% Remote job distribution, with an average salary of $81,742 per year, or $39.3 per hour.

Clinical Documentation Specialist

Elevait Solutions

Fountain Valley, CA • On-site

$38.25 - $51.25/hr

Contractor

Re-posted 16 days ago

Job description

Job Title: Clinical Documentation Specialist

Location: Fountain Valley, California/Remote Role

Duration: 3+ Months

Job Type: Contract

Note: Applications 360, 3M and Iodine highly desired. Top 3 Keywords: 1- Clinical Documentation Integrity (CDI) 2- DRG Assignment & Concurrent Review 3- Epic & 3M 360 CDI Systems

Top Required Skills:

  • Concurrent medical record review & clinical documentation improvement
  • DRG assignment & coding collaboration
  • Clinical communication & physician querying

Must-Have Skills:

  • Concurrent review of inpatient medical records for accuracy and completeness
  • Strong clinical knowledge to assess severity of illness, risk of mortality, and quality of care
  • Experience identifying principal and secondary diagnoses and procedures
  • Ability to assign and reconcile concurrent working DRGs
  • Physician query development and compliance with CDI standards
  • Strong understanding of coding and reimbursement guidelines (CMS, NCHS, AHA)
  • Proficiency with clinical and collaboration systems (e.g., EPIC, 3M 360, Outlook, Teams, SharePoint)
  • Excellent verbal and written communication skills
  • Ability to work independently in a remote environment
  • Strong attention to detail, organization, and multitasking abilities
  • Strict adherence to HIPAA and patient confidentiality

Nice-to-Have Skills:

  • CCDS and/or CDIP certification
  • Experience with DRG mismatch analysis and retrospective reviews
  • Experience supporting quality metrics, patient safety indicators, and compliance audits
  • Experience using Iodine, Zoom, or similar clinical review tools

Key Responsibilities & Duties:

  • Perform initial and subsequent concurrent CDI reviews for selected admissions and document findings
  • Identify documentation clarification opportunities related to diagnosis specificity, quality, safety, and resource utilization
  • Assign concurrent working DRGs and collaborate with physicians, coders, and CDI leadership to finalize DRGs
  • Issue compliant physician queries to ensure accurate and complete clinical documentation
  • Meet productivity, quality, compliance, and audit performance standards
  • Maintain HIPAA compliance, follow organizational policies, and support special projects as assigned

Requirements:

  • MD, BS, or higher in a healthcare-related field OR CCS-certified coder with strong clinical background
  • Active clinical licensure (RN, PA, NP, MD, or FMD) and/or CCS certification (required)
  • Strong understanding of CDI, coding guidelines, and reimbursement impact
  • Ability to work autonomously and productively in a remote work environment
  • English proficiency (read, write, speak)

Elevait Solutions is a disabled-veteran owned staffing and workforce solutions company built on purpose, integrity, and impact. We believe work should mean more than just a paycheck; it should fuel passion, growth, and fulfillment. That’s why we partner closely with both clients and job seekers to create connections that truly fit, not just fill a role.

Instead of forcing a match, we take the time to understand what drives each person and each organization, ensuring alignment that lasts. Our mission is to help people find careers that make them excited to show up every day—because when people love what they do, everyone wins.

From empowering veterans and transitioning service members to supporting underrepresented communities, Elevait Solutions is redefining what it means to build a career with purpose. We’re not just filling jobs, but we’re changing lives and strengthening teams that drive real results.