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Overnight Clinical Documentation Integrity Jobs (NOW HIRING)

Guidehouse

Clinical Documentation Integrity Manager

$35.50 - $47.75/hr

None What You Will Do The Clinical Documentation Integrity Manager is responsible for assisting the CDI Director with new client implementations/engagement, work collaboratively with the facility CDI ...

Guidehouse

Clinical Documentation Integrity Manager

$35.50 - $47.75/hr

None What You Will Do The Clinical Documentation Integrity Manager is responsible for assisting the CDI Director with new client implementations/engagement, work collaboratively with the facility CDI ...

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How much do overnight clinical documentation integrity jobs pay per hour?

As of Aug 18, 2026, the average hourly pay for overnight 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 an overnight clinical documentation integrity specialist?

An Overnight Clinical Documentation Integrity (CDI) specialist is a healthcare professional who works during nighttime hours to ensure that patient medical records are accurately and thoroughly documented. Their role involves reviewing clinical documentation, working with physicians and healthcare staff, and clarifying records to ensure they reflect the full extent of a patient's care. This accurate documentation is essential for quality patient care, regulatory compliance, and proper billing. Overnight CDI specialists help maintain continuous documentation quality in 24/7 healthcare facilities, supporting both patient outcomes and hospital operations.

What are the primary challenges faced by professionals working in overnight clinical documentation integrity roles?

One of the main challenges in an Overnight Clinical Documentation Integrity (CDI) role is ensuring thorough and accurate documentation review with limited in-person access to providers and support staff. Communication often relies on electronic systems or asynchronous messaging, which can delay clarifications or queries. Additionally, overnight CDI specialists must be adept at independently interpreting complex clinical scenarios, maintaining attention to detail, and managing fatigue associated with night shifts. However, this role also offers a unique opportunity to support 24/7 hospital operations and often involves close collaboration with remote or rotating CDI team members.

What are the key skills and qualifications needed to thrive as an overnight clinical documentation integrity specialist, and why are they important?

To thrive as an Overnight Clinical Documentation Integrity Specialist, you need a strong background in clinical practice, medical terminology, and health information management, often supported by credentials such as RN, RHIA, RHIT, or CCS. Familiarity with electronic health records (EHRs), CDI software, and coding systems like ICD-10 is typically required. Attention to detail, critical thinking, and effective communication are vital soft skills for reviewing records and collaborating with night-shift staff. These skills ensure accurate documentation for patient care, regulatory compliance, and optimal hospital reimbursement, especially during overnight hours.

What is the difference between Overnight Clinical Documentation Integrity vs Overnight Medical Coding Specialist?

AspectOvernight Clinical Documentation IntegrityOvernight Medical Coding Specialist
Primary FocusEnsuring accurate, complete clinical documentation for proper patient care and reimbursementAssigning standardized codes to medical diagnoses and procedures for billing
CredentialsTypically requires clinical background, certifications like CCDS or CCSRequires coding certifications such as CPC or CCS
Work EnvironmentHospitals, healthcare systems, clinical settings, often overnight shiftsHospitals, billing companies, healthcare providers, often overnight shifts
Key ResponsibilitiesReviewing clinical notes, improving documentation quality, supporting complianceAnalyzing medical records, assigning appropriate codes, ensuring billing accuracy

While both roles operate overnight in healthcare settings, Overnight Clinical Documentation Integrity focuses on enhancing clinical documentation quality, whereas Overnight Medical Coding Specialists concentrate on coding medical records for billing. Both are essential for accurate reimbursement and compliance, often working in similar environments and requiring related certifications.

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Overnight Clinical Documentation Integrity jobs near you
Infographic showing various Overnight Clinical Documentation Integrity 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 Integrity Specialist

University of California - Los Angeles Health

Los Angeles, CA • On-site

$100K - $218K/yr

Other

Posted 6 days ago

Job description

Description

Make a positive impact on one of the nation's top health systems. Help ensure the efficient delivery of award-winning patient care. Take your professional expertise to the next level. UCan do all this and more at UCLA Health.


You will become a member of our highly successful Clinical Documentation Integrity and Denial Management team, including all modalities. This role involves daily review of high-acuity patient records to identify potential and active payer denials, assess clinical validity, and to support denial prevention, analysis, and appeals across inpatient and outpatient settings; continuously communicating with department staff; educating physicians, residents, and mid-levels; and assisting with appropriate documentation strategies.

Partnering with Medical Coding, Clinical Documentation Integrity, Case Management, and the Quality team, you will gather/analyze information to provide comprehensive medical record documentation that accurately reflects clinical treatment, decisions, and diagnoses. Leveraging your denial management experience, clinical expertise, and coding knowledge to identify opportunities and ensure accuracy and completeness of clinical documentation for denial prevention. You will prepare and submit high quality appeal letters supported by clinical evidence, regulatory guidelines, and payor-specific medical necessity criteria, while identifying denial trends and root causes and provide feedback to the CDI and Clinical teams.

Salary Range: $100,161.36 - $218,718.00/year
Qualifications

We're seeking a detail-oriented, collaborative, self-directed individual with:

*Bachelor's degree in health-related field, preferred

*A Registered Nurse (RN) license or MD diploma (or equivalent) required

*Three or more years of Clinical Documentation Integrity experience required, preferably at an AMC

*Knowledge of coding guidelines and coding clinic, required

*Knowledge of laws, rules and regulations regarding appropriate clinical documentation for Medicare, Medi-Cal, CCS etc.

*Strong leadership, supervisory, and training skills

*Excellent critical thinking abilities

*Experience working within EPIC and 3M 360 Encompass CAC, required

*Resourcefulness and strong communication, organizational, and analytical skills

*Ability to work effectively with physician/staff and interdisciplinary teams

*Computer proficiency and proficiency in Word, Excel and PowerPoint, required

*Skill in abstracting/interpreting medical information from patient records, required

*Clinical experience sufficient to understand and communicate medical diagnoses and courses of treatment to professional and non-professional personnel, required

*Knowledge of computer word processing, database programs, and ability to write reports and do graphical analysis, required

Note: Skills may be subject to test.



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