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Albanymed

Clin Doc Spec - P/T (20/hrs week)

Albany, NY · On-site

$77K - $119K/yr

AMHS - Clinical Documentation Integrity Work Shift: Day (United States of America) Salary Range: $77,075.00 - $119,466.00 This is a Hybrid position. Must reside in New York State. Utilizes clinical ...

STI

Epic Beaker Principal Trainer - REMOTE

The Principal Trainer partners closely with Clinical Informatics, Application Analysts, Operational ... Develop and maintain training documentation, job aids, and eLearning content * Participate in ...

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Epic Credentialed Principal Trainer

EpicCare Inpatient - ClinDoc (including Secure Chat & Rover), Clinical Case Management, Behavioral ... Maintaining policy and procedure documentation. * Incorporating feedback from others into existing ...

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Part Time Epic Clinical Documentation information

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How much do part time epic clinical documentation jobs pay per year?

As of Jun 14, 2026, the average yearly pay for part time epic clinical documentation in the United States is $71,314.00, according to ZipRecruiter salary data. Most workers in this role earn between $63,500.00 and $81,500.00 per year, depending on experience, location, and employer.

What is the difference between Part Time Epic Clinical Documentation vs Part Time Medical Coder?

AspectPart Time Epic Clinical DocumentationPart Time Medical Coder
Required CertificationsEpic Certification, Clinical Documentation Improvement (CDI) certificationCertified Coding Specialist (CCS), Certified Professional Coder (CPC)
Work EnvironmentHospitals, health systems using Epic EMRMedical offices, hospitals, coding companies
Employer & Industry UsageHealthcare providers implementing Epic EMRHealthcare facilities, billing companies
Common Search & ComparisonYesYes

Part Time Epic Clinical Documentation specialists focus on reviewing and improving clinical documentation within the Epic EMR system, ensuring accurate patient records. In contrast, Part Time Medical Coders translate clinical documentation into standardized codes for billing and reporting. While both roles require healthcare knowledge and certifications, Epic CDI roles emphasize clinical accuracy within Epic, whereas Medical Coders focus on coding compliance and billing processes.

What cities are hiring for Part Time Epic Clinical Documentation jobs? Cities with the most Part Time Epic Clinical Documentation job openings:
What are the most commonly searched types of Epic Clinical Documentation jobs? The most popular types of Epic Clinical Documentation jobs are:
Part Time Epic Clinical Documentation jobs near you
CDI RN DRG Downgrades Appeals Review Specialist

CDI RN DRG Downgrades Appeals Review Specialist

St. Luke's University Health Network

Allentown, PA

$34.25 - $46.25/hr

Part-time

Posted 19 days ago

St. Luke's University Health Network rating

7.1

Company rating: 7.1 out of 10

Based on 261 frontline employees who took The Breakroom Quiz

371st of 872 rated healthcare providers

Job description

St. Luke's is proud of the skills, experience and compassion of its employees. The employees of St. Luke's are our most valuable asset! Individually and together, our employees are dedicated to satisfying the mission of our organization which is an unwavering commitment to excellence as we care for the sick and injured; educate physicians, nurses and other health care providers; and improve access to care in the communities we serve, regardless of a patient's ability to pay for health care.The CDI RN DRG Downgrades Appeals Review Specialist is responsible for the retrospective clinical review and defense of inpatient DRG downgrades, clinical validation denials, and medical necessity determinations issued by governmental and commercial payers.

JOB DUTIES AND RESPONSIBILITIES:

  • Conduct retrospective clinical record reviews to evaluate DRG downgrades, clinical validation denials, and medical necessity determinations.

  • Analyze documentation in conjunction with MS-DRG logic and ICD-10-CM/PCS coding guidelines to determine appeal opportunity.

  • Develop and submit defensible first- and second-level appeal letters using clinical evidence, regulatory guidance, coding standards, and payer policy.

  • Collaborate with Physician Advisors, Coding leadership, and CDI to support higher-level appeals (e.g., IRO, ALJ, payer conferences).

  • Identify denial trends and provide structured feedback to Coding and CDI leadership to reduce future payer vulnerability.

  • Participate in payer audit response processes (RAC, QIO, MIC, commercial auditors) and assist in preparation for formal appeal proceedings.

  • Maintain accurate documentation within EPIC, payer audit platforms, and internal tracking tools to support reporting and performance monitoring.

  • Review denial data and appeal outcomes to assist leadership in assessing revenue impact, case resolution trends, and operational improvement opportunities.

  • Maintain current knowledge of MS-DRG methodology, ICD-10-CM/PCS coding guidelines, clinical validation standards, federal and commercial payer policies, and medical necessity criteria.

  • Serve as a clinical resource regarding documentation specificity and disease process validation as it relates to reimbursement defense.

PHYSICAL AND SENSORY REQUIREMENTS:

Sitting, standing and light lifting.Repetitive arm/finger use retrieving/viewing computerized patient medical record and abstracting of patient information. Corrected vision and hearing to within normal range. Hearing as it relates to normal conversation. Works inside with adequate lighting, comfortable temperature and ventilation.

EDUCATION:

Registered Nurse required. BSN preferred. Active RN license required. CDI certification (CDIP, CCDS) required.

TRAININGAND EXPERIENCE:

Minimum five (5) years RN experience in adult inpatient acute care (medical/surgical or critical care). Clinical Documentation Improvement (CDI) experience required. DRG downgrade or clinical validation denial experience strongly preferred. Utilization review or payer medical review experience preferred. Familiarity with MS-DRG reimbursement methodology. Demonstrated understanding of disease pathophysiology and documentation specificityrequirements. Working knowledge of ICD-10-CM/PCS fundamentals. Understanding of payer audit and appeal processes. Experience with EPIC and encoder tools (e.g., 3M) required.

Please complete your application using your full legal name andcurrent home address. Be sure toincludeemployment history forthe past seven (7) years, including your present employer. Additionally, you areencouraged to upload a current resume, including all work history, education, and/or certifications andlicenses, if applicable. It is highly recommended that you create a profile at the conclusion of submitting your first application. Thank you for your interest in St. Luke's!!

St. Luke's University Health Network is an Equal Opportunity Employer.

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