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Remote Clinical Documentation Jobs in Ohio (NOW HIRING)

Your Role as a Remote Clinical Therapist: At WellQor, you'll help your clients overcome anxiety ... Enter and maintain appropriate documentation in WellQor's, easy to use web based EHR system ...

Maintains clinical records and provides clinical documentation and communication with external ... Remote work is not a right, it is a work arrangement that can be modified or revoked by Miami ...

Maintains clinical records and provides clinical documentation and communication with external ... Remote work is not a right, it is a work arrangement that can be modified or revoked by Miami ...

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Remote Clinical Documentation information

See Ohio salary details

$84.6K

$97.2K

$118.8K

How much do remote clinical documentation jobs pay per year?

As of Sep 5, 2026, the average yearly pay for remote clinical documentation in Ohio is $97,246.00, according to ZipRecruiter salary data. Most workers in this role earn between $89,400.00 and $104,100.00 per year, depending on experience, location, and employer.

What is a remote clinical documentation?

A Remote Clinical Documentation job involves reviewing and analyzing medical records to ensure accuracy, completeness, and compliance with industry standards. Professionals in this role typically collaborate with healthcare providers to improve documentation quality, facilitate proper coding, and support accurate billing. These roles often require experience in clinical documentation, medical coding, or healthcare compliance, and may involve working with electronic health records (EHR) systems. Since the job is remote, strong communication skills and attention to detail are essential for success.

What are the key skills and qualifications needed to thrive in remote clinical documentation, and why are they important?

To succeed in a Remote Clinical Documentation role, you need a strong background in medical terminology, clinical processes, and a relevant healthcare degree or certification. Proficiency with electronic health record (EHR) systems, medical coding software, and familiarity with HIPAA compliance are typically required. Excellent written communication skills, attention to detail, and the ability to work independently and manage time effectively are crucial soft skills. These abilities ensure accurate clinical documentation, legal compliance, and effective remote collaboration with healthcare teams.

What are some typical challenges faced when working remotely in clinical documentation?

A common challenge in remote clinical documentation is maintaining high levels of accuracy and attention to detail without direct in-person supervision or immediate access to healthcare providers. Remote documentation professionals must also stay updated with frequent changes in healthcare regulations and documentation standards. Proactive communication and strong organizational skills are essential, as the role often requires independently managing large volumes of records while coordinating virtually with physicians and clinical teams. Establishing a reliable home office, mastering EHR software, and participating in regular training or team meetings can help overcome these challenges and ensure continued success in the role.

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

The most popular types of Clinical Documentation jobs in Ohio are:

What cities in Ohio are hiring for Remote Clinical Documentation jobs?

Cities in Ohio with the most Remote Clinical Documentation job openings:

Infographic showing various Remote Clinical Documentation job openings in Ohio as of August 2026, with employment types broken down into 71% Full Time, and 29% Part Time. Highlights an 14% In-person, and 86% Remote job distribution, with an average salary of $97,246 per year, or $46.8 per hour.

Clinical Documentation Integrity (CDI) Analyst (Remote)

University Hospitals

Shaker Heights, OH • On-site, Remote

$33.25 - $45/hr

Full-time

Re-posted 10 days ago


University Hospitals rating

7.3

Company rating: 7.3 out of 10

Based on 626 frontline employees who took The Breakroom Quiz

305th of 898 rated healthcare providers


Job description

$5,000 Sign on Bonus
A Brief Overview
Applies clinical expertise and knowledge of health care workflows in order to educate and train CDI Specialists in the essential duties of their role to improve the overall accuracy and comprehensiveness of medical record documentation, with focus on ensuring accurate reporting of quality outcomes Educates CDI Specialists on the rules/regulations associated with coding and clinical documentation integrity. Trains newly hired CDI Specialists and provides ongoing coaching and education specific to daily CDI Specialist job functions. Ensures the work output of the Clinical Documentation Integrity staff is accurate and compliant. Collaborates with CDI leadership and Coding team to identify training opportunities and assist with education of CDI and Coding staff with regard to clinical documentation integrity and/or clinical and coding scenarios as needed.
What You Will Do
  • Performs post-discharge, final coded, pre-bill reviews of targeted records identified for second-level review for opportunity to accurately capture patient acuity, severity of illness, risk of mortality, and DRG assignment in compliance with industry rules and regulations
    • Documents SLR findings within CDI application.
    • If a documentation opportunity is identified, place physician query and follow up for response to ensure completeness and accuracy of the medical record.
    • If coding opportunity is identified, coordinate with coder and/or Coding Leadership to review and address opportunity as applicable
  • Serves as a role model and resource for CDI team members
    • Subject matter expert that exhibits excellent skills in essential components of the CDI Specialist role
    • Responds to CDS requests for concurrent chart reviews on challenging cases with recommendations and supporting rationale
    • Performs concurrent second level reviews based on defined criteria and shares feedback with CDI Specialist assigned to the encounter for action on opportunities identified.
  • Maintains a summary of opportunities identified through second level review for feedback and education with the CDI team
    • Coordinates with other Second Level Reviewers, CDI Leads, and CDI Educator to compile trends and areas of opportunity and conduct education both 1:1 and group education with the CDI team based on the findings
  • Periodically review the criteria established for cases triggering a second level review and recommend updates or modifications to the criteria to assist in identifying areas of opportunity
  • Is actively engaged in quality and process improvement efforts
    • Performs targeted audits as assigned in support of department initiatives
    • Participates in quality initiatives such as HAC/PSI and US News/Mortality
    • Collaborates with CDI Leadership, Leads and Educators to optimize query templates
    • Identifies and shares feedback regarding workflow improvement opportunities identified when completing the SLR process
    • Facilitates change and supports the CDI team through change management processes
    • Actively engages in advancing the CDI practice throughout the UH enterprise
    • Actively engages in department and/or enterprise-wide committee

Additional Responsibilities
  • Performs other duties as assigned.
  • Complies with all policies and standards.
  • For specific duties and responsibilities, refer to documentation provided by the department during orientation.
  • Must abide by all requirements to safely and securely maintain Protected Health Information (PHI) for our patients. Annual training, the UH Code of Conduct and UH policies and procedures are in place to address appropriate use of PHI in the workplace.

Qualifications:
Education
  • Other Accredited Program: Diploma in Nursing or in Health Information Management (Required) or
  • Associate's Degree preferably in Health Information Management or Nursing (Required) or
  • Bachelor's Degree preferably in Health Information Management or Nursing (Required) or
  • Doctorate Degree in Medicine (Required)

Work Experience
  • 3+ years CDI experience as a concurrent reviewer (Required)

Knowledge, Skills, & Abilities
  • Extensive clinical knowledge and understanding of pathology/physiology; best demonstrated by clinical experience in hospital setting (Required proficiency)
  • Strong critical thinking skills and the ability to review the medical record to identify information not yet documented but supported by clinical indicators or clinical clues (Required proficiency)
  • Demonstrates comprehension of Case Mix Index (CMI) and can interpret, analyze, evaluate data, provide rationale for trends/impacting factors and develop strategy for correcting/optimizing CMI (Required proficiency)
  • Knowledge of age-specific patient needs and the elements of disease processes and related procedures (Required proficiency)
  • Excellent written and verbal communication skills; ability to write concisely and effectively when communicating with providers (Required proficiency)
  • Assertive personality traits to facilitate ongoing physician communication (Required proficiency)
  • Working knowledge of inpatient admission criteria. (Required proficiency)
  • Ability to work independently in a time-oriented environment as well as working as part of a team, primarily in a virtual setting. (Required proficiency)
  • Applies knowledge and expertise to daily job responsibilities. Maintains professional knowledge by reading and/or attending webinars that pertain to Clinical Documentation Improvement. (Required proficiency)
  • Earns and maintains Certification for Clinical Documentation Improvement. (Required proficiency)
  • Incorporates current literature, research and best practice ( ACDIS and AHIMA ) into daily practice. (Required proficiency)
  • Up to-date clinical and coding experience, and current working knowledge of pathology, pharmacology, surgical procedures, etc. (Required proficiency)
  • Detail-oriented and organized, have excellent time-management skills, and have good analytical and problem-solving ability. (Required proficiency)
  • Notable client service, communication, presentation and relationship building skills. (Required proficiency)

Licenses and Certifications
  • Registered Nurse (RN), Ohio and/or Multi State Compact License (Required Upon Hire) or
  • Registered Health Information Administration (RHIA) (Required Upon Hire) or
  • Registered Health Information Technologist (RHIT) (Required Upon Hire) and
  • Certified Clinical Documentation Specialist (CCDS) (Required Upon Hire) or
  • Clinical Documentation Improvement Practitioner (CDIP) (Required Upon Hire)
  • International medical doctor education and experience can meet qualifications in lieu of RN, RHIA or RHIT

Physical Demands
  • Standing Occasionally
  • Walking Occasionally
  • Sitting Constantly
  • Lifting Rarely up to 20 lbs
  • Carrying Rarely up to 20 lbs
  • Pushing Rarely up to 20 lbs
  • Pulling Rarely up to 20 lbs
  • Climbing Rarely up to 20 lbs
  • Balancing Rarely
  • Stooping Rarely
  • Kneeling Rarely
  • Crouching Rarely
  • Crawling Rarely
  • Reaching Rarely
  • Handling Occasionally
  • Grasping Occasionally
  • Feeling Rarely
  • Talking Constantly
  • Hearing Constantly
  • Repetitive Motions Frequently
  • Eye/Hand/Foot Coordination Frequently

Travel Requirements
  • 10%

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About University Hospitals

Sourced by ZipRecruiter

For more than 155 years, University Hospitals has been on a mission to heal, teach and discover. As a renowned academic medical center and community hospital network, we’ve expanded across Northeast Ohio to deliver what matters most to our patients: personalized, compassionate care; medical discovery and breakthroughs; and high-quality, affordable care close to home.

Industry

Health care and social assistance

Company size

10,000+ Employees

Headquarters location

Cleveland, OH, US

Year founded

1866