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Remote Clinical Documentation Improvement Jobs (NOW HIRING)

R1

Clinical Documentation Improvement Specialist

$48K - $81K/yr

As our Clinical Documentation Improvement (CDI) Specialist, you will use clinical and coding knowledge for conducting clinically based concurrent and retrospective reviews of inpatient medical ...

R1

Clinical Documentation Improvement Specialist

$48K - $81K/yr

As our Clinical Documentation Improvement (CDI) Specialist, you will use clinical and coding knowledge for conducting clinically based concurrent and retrospective reviews of inpatient medical ...

R1

Clinical Documentation Improvement Specialist

$48K - $81K/yr

As our Clinical Documentation Improvement (CDI) Specialist, you will use clinical and coding knowledge for conducting clinically based concurrent and retrospective reviews of inpatient medical ...

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Remote Clinical Documentation Improvement information

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$39.5K

$108.4K

$163K

How much do remote clinical documentation improvement jobs pay per year?

As of Aug 18, 2026, the average yearly pay for remote clinical documentation improvement in the United States is $108,414.00, according to ZipRecruiter salary data. Most workers in this role earn between $82,500.00 and $146,500.00 per year, depending on experience, location, and employer.

What is remote clinical documentation improvement?

Remote clinical documentation improvement (CDI) refers to the process of reviewing and enhancing the quality, accuracy, and completeness of clinical documentation from a remote location, rather than onsite at a healthcare facility. Professionals in this role work with healthcare providers to ensure patient records accurately reflect the care provided, which is crucial for patient safety, proper coding, and reimbursement. Remote CDI specialists typically use secure electronic health record (EHR) systems and communication tools to collaborate with physicians and other staff. This role allows for flexibility and can help healthcare organizations maintain high documentation standards regardless of location.

What are some unique challenges of working as a remote clinical documentation improvement specialist, and how can they be addressed?

Working remotely as a Clinical Documentation Improvement Specialist often means communicating with healthcare providers and team members virtually rather than in person. This can make it challenging to build relationships, clarify documentation questions quickly, and stay updated on patient cases. To address these challenges, it’s important to leverage secure communication tools, schedule regular check-ins with clinical staff, and stay organized with digital documentation systems. Proactively fostering collaboration and maintaining clear, professional communication can help bridge the remote gap and ensure accurate, thorough clinical documentation.

What are the key skills and qualifications needed to thrive as a remote clinical documentation improvement specialist, and why are they important?

To thrive as a Remote Clinical Documentation Improvement (CDI) Specialist, you need a solid background in nursing or health information management, strong knowledge of medical terminology, and often a credential such as CCDS or CDIP. Familiarity with electronic health records (EHR) systems, clinical coding standards (like ICD-10-CM), and CDI software is typically required. Excellent communication, analytical thinking, and attention to detail are crucial soft skills for clarifying clinical documentation and collaborating with healthcare providers remotely. These competencies are vital to ensure accurate medical records, optimize reimbursement, and support patient care quality from a distance.

What is the difference between Remote Clinical Documentation Improvement vs Remote Medical Coder?

AspectRemote Clinical Documentation ImprovementRemote Medical Coder
CertificationsCCDS, CCDS-O, RHIA, RHITAAPC CPC, AHIMA CCS
Work EnvironmentHealthcare facilities, remote teamsHospitals, clinics, remote coding teams
Industry UsageHealthcare quality, documentation accuracyMedical billing, coding, reimbursement

Remote Clinical Documentation Improvement specialists focus on enhancing the accuracy and completeness of clinical records to support quality care and reimbursement. Remote Medical Coders translate clinical documentation into standardized codes for billing. While both roles require healthcare knowledge and certifications, CDI emphasizes documentation improvement, whereas Medical Coding centers on coding accuracy for billing purposes.

More about Remote Clinical Documentation Improvement jobs

What cities are hiring for Remote Clinical Documentation Improvement jobs?

Cities with the most Remote Clinical Documentation Improvement job openings:

What are the most commonly searched types of Clinical Documentation Improvement jobs?

The most popular types of Clinical Documentation Improvement jobs are:

What states have the most Remote Clinical Documentation Improvement jobs?

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Remote Clinical Documentation Improvement jobs near you
Infographic showing various Remote Clinical Documentation Improvement 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 $108,414 per year, or $52.1 per hour.

Remote Clinical Documentation Improvement Nurse - Certified

Martin's Point Health Care

Portland, ME • On-site, Remote

Full-time

Medical, Dental, Vision, Retirement, PTO

Posted 4 days ago

Martin’s Point Health Care rating

7.4

Company rating: 7.4 out of 10

Based on 6 frontline employees who took The Breakroom Quiz

Job description

Join Martin's Point Health Care - an innovative, not-for-profit health care organization offering care and coverage to the people of Maine and beyond. As a joined force of "people caring for people," Martin's Point employees are on a mission to transform our health care system while creating a healthier community. Martin's Point employees enjoy an organizational culture of trust and respect, where our values - taking care of ourselves and others, continuous learning, helping each other, and having fun - are brought to life every day. Join us and find out for yourself why Martin's Point has been certified as a "Great Place to Work" since 2015.
Position Summary
As a member of the GA Programs team, the Clinical Documentation Improvement Nurse partners key stakeholders within the health plan, delivery systems, and provider network to develop and implement processes and best practices to support accurate diagnostic coding and attention to gaps in care as it relates to Medicare Advantage Risk Adjustment. This role is also responsible for reviewing clinical documentation to support HEDIS, and to participate in the HEDIS medical record abstraction process. The Clinical Documentation Improvement Nurse is responsible in assisting the provider community to improve the overall accuracy, quality and completeness of clinical documentation.
Job Description
Key Outcomes:
  • Facilitates recommendations for improvement to clinical documentation through extensive interaction with key stakeholders in the delivery system and participating provider network to ensure the accuracy of the documentation and coding reflective of the reviewed services rendered.
  • Ensures the accuracy and completeness of clinical information used for measuring and reporting outcomes and confirms accuracy of diagnosis codes on submissions to the Centers for Medicare and Medicaid Services (CMS).
  • Provides education as it relates to quality and risk adjustment documentation and reporting in the delivery system, and participating provider network
  • Identifies trends, develops and executes action plans to increase clinical documentation accuracy and capturing of risk adjustable codes
  • Supports accreditation and regulatory compliance by evaluating process effectiveness, identifying and acting on improvement opportunities, and ensuring that all HEDIS requirements are met
  • Ensures compliance for all HEDIS quality audits and maintain all data and process controls
  • Manages internal and external relationships to promote positive working relationships and advancement of HEDIS and Risk Adjustment clinical documentation and coding reporting initiatives
  • Serves as risk adjustment coding subject matter expert from a clinical perspective and works collaboratively with management team to strategically plan and execute risk adjustment coding efforts to yield desired outcomes
  • Research and understand CMS and other regulatory and reputable risk adjustment publications to assist in development of best practice policies and creation of educational materials such as coding newsletters for distribution to providers with the most up to date guidelines and changes. Ensures the completeness and accuracy of the clinical documentation by reviewing clinical records, identifying gaps or inaccuracies, formulating credible clarifications and communicating with providers to clarify clinical diagnoses, ICD 10 code selections and supporting documentation.
  • Provides training to providers, practice leadership and designated staff to facilitate accuracy of clinical documentation and risk adjustment coding and to improve methodologies to support data integrity.
  • Reviews clinical documentation, identifies incomplete or inaccurate information for clinical relevance. Works with key stakeholders in a timely manner to ensure points of clarification are recorded in medical records.
  • Keep abreast of Medicare Advantage program and how it impacts payment, knowledge of pathophysiology and disease process.
  • Knowledge of value-based purchasing and other quality metrics affecting the clinical documentation integrity program.
  • Reviews and analyzes population data and metrics to inform improved coding outcomes
  • Identifies gaps in clinical operational structure between current and desired state
  • Develop monitoring tools to track successes and challenges in the CDI program in order to facilitate process improvements
  • Performs all other related duties as assigned

Education/Experience:
  • Bachelor's Degree in Nursing required
  • Current RN license in good standing required
  • 5+ years' clinical experience, preferably in geriatrics
  • 2 years of clinical coding experience with strong attention to detail and a high level of accuracy preferred
  • Ability to speak and provide presentations and education to small and large groups alike
  • Ability to work a flexible work schedule and willingness to travel (locally) as determined by business need
  • One or more of the following Licenses/Certifications required: CDI, CPC, CPC-H, CPC-P, CRC, CCS, CCS-P, CPMA

Skills/Knowledge/Competencies (Behaviors):
  • Knowledge of HEDIS, abstraction concepts, Medicare Risk Adjustment preferred
  • Ability to assess population health needs and define health improvement priorities
  • Excellent verbal and written communication skills required
  • Self-motivated and accountable for project coordination and follow-through
  • Strong organizational and planning skills required
  • Must meet deadlines and produce accurate work product
  • Must be able to handle multiple tasks at the same time
  • Must work well independently
  • Maintain strong clinical knowledge and understanding of Evidenced-Based Practice principles
  • Define and educate regarding appropriate sources for standards of care
  • Ability to review and analyze population data and metrics to inform development of programs
  • Create, build and maintain relationships in order to improve performance and establish trust and maintain creditability throughout the organization
  • Impact and influence: ability to make a difference
  • Demonstrate adaptability and flexibility in the face of changing demands.
  • Demonstrate willingness to perform additional tasks as assigned
  • Display initiative to improve relative to job function.
  • Contribute ideas to help improve processes and abstracting data
  • Demonstrate an understanding of and alignment with Martin's Point Values.
Pay Range:$86,926.10 - $107,379.30The pay range above reflects the anticipated base pay range based on a full-time position. Actual compensation will be determined based on factors such as experience, skills, qualifications, and other job-related considerations. Employees may also be eligible for additional compensation, including incentive or commission-based programs, where applicable and subject to the terms of the relevant plan.In addition to base compensation, we offer a comprehensive benefits package including medical, dental, vision, retirement savings with employer contributions, paid time off (including volunteer time off!), pie day, and other employee benefits.
This position is not eligible for immigration sponsorship.
We are an equal opportunity/affirmative action employer.
Martin's Point complies with federal and state disability laws and makes reasonable accommodations for applicants and employees with disabilities. If a reasonable accommodation is needed to participate in the job application or interview process, to perform essential job functions, and/or to receive other benefits and privileges of employment, please contact jobinquiries@martinspoint.org
Do you have a question about careers at Martin's Point Health Care? Contact us at: jobinquiries@martinspoint.org

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