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Remote Cdi Rn Jobs in Newark, NJ (NOW HIRING)

Phaxis

AIMS- REMOTE RN CARE MANAGER

NY · On-site +1

$61 - $63/hr

Current NYS RN license * Experience in case management, care coordination, or similar clinical ... Experience with telephonic care management or remote patient monitoring. * Familiarity with EHR ...

Medi-Law Solutions

Be Seen First

Legal Nurse Consultant-DME Observer

Newark, NJ · Remote

$60 - $70/hr

Remote/Field-Based (travel required to medical exams located in Northern New Jersey. We are seeking experienced RNs to join our network as independent contractors specializing in attending DMEs/IMEs ...

CVS Health

Case Manager, Registered Nurse

New York, NY · Remote

$54K - $155K/yr

Position Summary This is a remote work from home role anywhere in the US with virtual training ... A RN who resides in a compact state is required to have an active multistate license through the ...

Adecco

Registered Nurse Assessor Bronx

New York, NY · Remote

$60/hr

Bronx, NY (3 days in community , 2 days remote) * Hours: Mon-Fri (8am-6pm) | Sat-Sun (10am-6pm ... Valid RN license in the state of New York. * Experience: 2+ years of RN experience in home care.

Mercor

Utilisation Management Expert - RN

New York, NY · Remote

$100 - $150/hr

Remote Role Responsibilities * Lead utilisation management and case management operations ... Active clinical licensure ( RN required ; physician advisor/ MD preferred ) with strong medical ...

Pharmko

Remote Care Manager CCM/RPM/BHI

Lawrence, NY · Remote

$20 - $22/hr

... remote care manager to join our rapidly growing team at Preventel Health performing Chronic Care ... Licensed RN required * Must be Licensed in NY, CO, or FL * Must have good customer service skills

MedReview

DRG Clinical Validation Nurse

New York, NY · Remote

$85K - $95K/yr

We are seeking a registered nurse with experience in clinical validation to work within our coding ... Ability to use Windows PC with the ability to utilize multiple applications at the same time Remote ...

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How much do remote cdi rn jobs pay per hour?

As of Aug 10, 2026, the average hourly pay for remote cdi rn in Newark, NJ is $50.12, according to ZipRecruiter salary data. Most workers in this role earn between $37.21 and $59.81 per hour, depending on experience, location, and employer.

What are the typical daily responsibilities of a Remote CDI RN?

As a Remote CDI RN, your daily tasks generally include reviewing patient medical records, identifying opportunities to clarify documentation, and collaborating with physicians and coding teams to ensure accuracy and completeness. You may participate in team meetings, provide education to clinical staff about documentation best practices, and use specialized software to track workflow and metrics. Working remotely requires effective time management as you balance multiple reviews and communications electronically. This role directly impacts quality reporting, risk management, and reimbursement for healthcare organizations.

What is a Remote CDI RN?

A Remote CDI RN (Clinical Documentation Integrity Registered Nurse) is a nursing professional who reviews medical records to ensure accurate and complete documentation for coding and billing purposes. They work remotely, collaborating with physicians and healthcare teams to clarify diagnoses and improve documentation quality. This role helps optimize reimbursement, ensures compliance with regulations, and enhances patient care accuracy. Strong clinical knowledge, coding proficiency, and communication skills are essential for success in this position.

What are the key skills and qualifications needed to thrive in the Remote CDI RN position, and why are they important?

To thrive as a Remote CDI RN, you need a current registered nursing license, solid clinical experience, and a deep understanding of clinical documentation improvement (CDI) processes. Familiarity with electronic health record (EHR) software, coding systems like ICD-10, and sometimes certifications such as CCDS or CDIP are commonly required. Strong attention to detail, effective communication, and the ability to work independently make candidates stand out. These skills are critical to ensuring accurate clinical documentation that reflects appropriate patient care and supports organizational compliance and reimbursement.

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Infographic showing various Remote Cdi Rn job openings in Newark, NJ as of August 2026, with employment types broken down into 66% Full Time, 20% Part Time, and 14% Contract. Highlights an 100% Remote job distribution, with an average salary of $104,255 per year, or $50.1 per hour.

Clinical Documentation Integrity DRG Downgrade Specialist - Remote

Med-Metrix

Parsippany, NJ • On-site, Remote

$35 - $47/hr

Full-time

Re-posted yesterday

Med-Metrix rating

6.9

Company rating: 6.9 out of 10

Based on 21 frontline employees who took The Breakroom Quiz

278th of 485 rated business services

Job description

Job Purpose
The Clinical Documentation Integrity DRG Downgrade Specialist is responsible for reviewing, analyzing, and responding to payer-initiated DRG downgrades. The Clinical Documentation Integrity DRG Downgrade Specialist ensures accurate DRG assignment, protects revenue integrity, and supports compliant documentation practices through detailed review, appeal preparation, and performance tracking. The Clinical Documentation Integrity DRG Downgrade Specialist serves as an effective change agent, acting as a resource and educator for providers and interdisciplinary care teams to improve documentation quality, coding accuracy, and audit readiness.
Duties & Responsibilities
  • Analyze payer DRG downgrade notifications to determine validity based on ICD-10-CM/PCS coding guidelines, clinical indicators, and documentation sufficiency
  • Conduct comprehensive medical record reviews to validate principal diagnosis, secondary diagnoses, procedures, MCC/CC capture, and DRG assignment accuracy
  • Write clear, persuasive, evidence-based appeal letters that incorporate clinical rationale, coding guidelines, and regulatory references to support the original DRG
  • Submit appeals within required timelines and track each case through all stages of the appeal lifecycle, including initial review, reconsideration, and final determination
  • Maintain detailed logs of downgrade cases, outcomes, appeal success rates, and turnaround times to support throughput monitoring, trend analysis, and performance reporting
  • Identify patterns in payer downgrades and escalate systemic issues or documentation vulnerabilities to leadership
  • Collaborate with internal teams and providers to clarify ambiguous documentation and ensure clinical specificity
  • Identify documentation gaps or inconsistencies and provide targeted feedback to improve provider documentation practices
  • Participate in internal audits, retrospective reviews, and quality assurance processes related to DRG validation, coding accuracy, and documentation completeness
  • Assist in developing or refining documentation templates, provider education materials, and query processes to support ongoing CDI improvement
  • Ensure all coding and documentation practices align with CMS regulations, AHA Coding Clinic guidance, and organizational compliance policies
  • Stay current on payer audit trends, regulatory updates, DRG methodology changes, and emerging risk areas that may impact DRG assignment or audit outcomes
  • Support compliance initiatives by identifying potential vulnerabilities and recommending corrective actions or process improvements
  • Partner with internal teams to resolve complex DRG issues and ensure alignment across departments
  • Participate in provider education sessions, meetings, and case reviews to promote accurate documentation and DRG integrity
  • Communicate effectively with leadership regarding trends, risks, and opportunities for improvement in documentation and coding practices
  • Serve as a subject-matter expert for DRG downgrade processes, providing guidance and support to internal teams
  • Other duties as assigned
  • Use, protect and disclose patients' protected health information (PHI) only in accordance with Health Insurance Portability and Accountability Act (HIPAA) standards
  • Understand and comply with Information Security and HIPAA policies and procedures at all times
  • Limit viewing of PHI to the absolute minimum as necessary to perform assigned duties

Qualifications
  • Bachelor's degree in Nursing required
  • Minimum of 3 years of experience in an inpatient clinical documentation improvement role
  • Minimum of 5 years nursing experience in adult acute care in medical/surgical, critical care, emergency, and/or PACU setting
  • RN license required
  • CCDS and/or CDIP required
  • CCS or CIC certification required
  • Demonstrated inpatient coding experience in an acute care setting
  • Prior experience managing DRG downgrades, including appeal letter development.
  • Deep knowledge of ICD-10-CM/PCS, ICD-10 Official Coding Guidelines and both MS and APR DRG Reimbursement Systems
  • Ability to interpret complex clinical documentation across multiple specialties.
  • Proficiency with EMR systems, encoder tools (e.g., 3M, Optum) and CDI workflow and reporting tools
  • Proficiency in Microsoft Office Suite
  • Strong interpersonal skills, ability to communicate well at all levels of the organization
  • Strong problem solving and creative skills and the ability to exercise sound judgment and make decisions based on accurate and timely analyses
  • High level of integrity and dependability with a strong sense of urgency and results oriented
  • Excellent written and verbal communication skills required

Working Conditions
  • Ability to work outside of normal business hours as needed
  • Must possess a smart-phone or electronic device capable of downloading applications, for multifactor authentication and security purposes
  • Physical Demands: While performing the duties of this job, the employee is occasionally required to move around the work area; Sit; perform manual tasks; operate tools and other office equipment such as computer, computer peripherals and telephones; extend arms; kneel; talk and hear
  • Mental Demands: The employee must be able to follow directions, collaborate with others, and handle stress
  • Work Environment: The noise level in the work environment is usually minimal

Med-Metrix will not discriminate against any employee or applicant for employment because of race, color, religion, sex (including pregnancy, gender identity, and sexual orientation), parental status, national origin, age, disability, genetic information (including family medical history), political affiliation, military service, veteran status, other non-merit based factors, or any other characteristic protected by federal, state or local law.

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