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Lead Clinical Documentation Specialist, CDS

Remote, USA Full-time Posted 2026-04-22
Job Description: • The Lead Clinical Document Specialist (CDS) – Rapid Response serves as a high-level clinical documentation integrity expert, deployed to address urgent, complex, or high-impact issues across the CDI program. • This role supports strategic initiatives, facilitates rapid-cycle audits, and investigates documentation and coding anomalies in real-time. • The Rapid Response Lead works collaboratively across departments to drive accurate documentation, coding integrity, and risk adjustment capture, while supporting training, compliance, and data-driven decision-making. • Serve as the primary resource for urgent CDI issues (e.g., payer denials, audits, DRG validation). • Address immediate system needs (e.g., high denial rates, quality issues, new coding rules). • Mentor front-line CDSs on complex cases, query framing, and escalation. • Analyze documentation and coding data for trends and improvement. • Lead and ensure compliance of strategic CDI initiatives across markets/systems. • Evaluate strategic results and recommend implementation pathways. Requirements: • Licensure / Certification / Registration: Required Credential(s): Clinical Documentation Prof. credentialed from the Association of Clinical Documentation Improvement Specialists obtained prior to hire date or job transfer date. • Education: High School diploma equivalency with 2 years of cumulative experience OR Associate's degree/Bachelor's degree with 1 year of experience OR 5 years of applicable cumulative job specific experience required. • 2 years of leadership or management experience preferred. Benefits: • Paid time off (PTO) • Various health insurance options & wellness plans • Retirement benefits including employer match plans • Long-term & short-term disability • Employee assistance programs (EAP) • Parental leave & adoption assistance • Tuition reimbursement Apply tot his job Apply To this Job

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