Mid Level Clinical Documentation Improvement Specialist Jobs
Mid level clinical documentation improvement specialist jobs go to clinicians ready to own complex query workflows, mentor newer reviewers, and drive documentation accuracy decisions with minimal oversight. Openings run across Healthcare & Medical Services, Education, and Technology & Software, with R1 RCM, Catholic Health, and University of Utah among the organizations actively hiring at this level now.
Find JobsOverview
Showing 5 of 6+ Mid Level Clinical Documentation Improvement Specialist jobs
INTRODUCTION
R1 is the leading provider of technology-driven solutions that transform the patient experience and financial performance of hospitals, health systems, and medical groups. We are the one company that combines the deep expertise of a global workforce of revenue cycle professionals with the industry’s most advanced technology platform, encompassing sophisticated analytics, AI, intelligent automation, and workflow orchestration.
ROLE AND RESPONSIBILITIES
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 records. Every day, you will evaluate the documentation of clinical services by identifying opportunities for improving the quality of medical record documentation, including focused reviews in areas identified by CDI leadership: Mortality reviews, PSI reviews, and other identified projects. Facilitates and obtains appropriate physician documentation for any clinical conditions or procedures to support the appropriate severity of illness, expected risk of mortality, and complexity of care of the patient. Participates in ongoing documentation improvement initiatives, including formal and informal education plans related to clinical documentation improvement to providers and the CDI team.
BASIC QUALIFICATIONS
- Highly skilled in CDI practices, coding, and documentation requirements related to quality outcomes, evaluation of medical record data for accuracy and reimbursement; self-motivated to stay abreast of CMS rules and regulations and incorporate those changes into daily practice.
- Possess flexibility to work in a fast-paced and dynamic environment
- Ability and willingness to learn other applications such as electronic calendar, MS Teams, MS SharePoint, One Drive, CDE One, and other CDI platforms
- Effective interpersonal skills
- Takes initiative, works independently, is self-directed, and highly motivated in work areas
- Ability to resolve moderate to high complexity issues
- Basic computer skills to include Word, Excel, PowerPoint, and Outlook/email
- Ability to effectively provide and receive feedback, both positive and constructive. Excellent judgment and self-motivation, experience working independently with minimal supervision.
- Demonstrated judgment, critical thinking, and independent decision-making
Here’s what you will experience working as a Clinical Documentation Improvement (CDI) Specialist:
- Initiates physician interaction when ambiguous, missing, or conflicting information is in the medical record, through the physician query process and/or participation in rounding with the physicians by requesting additional documentation for correct coding and compliance necessary for accurate reflection of CMI, LOS, and optimal resource utilization.
- Educates physicians and other staff on documentation requirements, coding guidelines, and reimbursement policies
- Utilizes Hospital coding code set, policies and procedures, Federal and State coding reimbursement guidelines, and application of the Coding Clinic Guidelines to assign working DRG, reviewing patient records throughout hospitalization that have been identified as focus DRG by regulatory agencies or the facility to ensure the codes are reported at the highest specificity.
- Collaborates with coders, auditors, quality improvement teams, and other stakeholders to resolve documentation issues and improve coding accuracy
- Stays updated on the latest developments and changes in clinical documentation standards, coding rules, and regulatory requirements
- Conducts focused reviews in areas identified by CDI leadership: Mortality reviews, PSI reviews, as well as other identified projects
- Assist with onboarding and training of new CDI team members
Required Qualifications
- Associate’s Degree in Nursing (Bachelor’s Degree in Nursing is preferred)
- Three to five years of recent clinical work experience in the medical-surgical area, ICU, telemetry, and or emergency department
- An active US RN license is required
- Knowledge or experience in electronic medical records (EMR) platforms and CDI platforms
COMPENSATION
For this US-based position, the base pay range is $48,131.00 - $81,225.49 per year. Individual pay is determined by role, level, location, job-related skills, experience, and relevant education or training. This job is eligible to participate in our annual bonus plan at a target of 5.00%.
The healthcare system is always evolving — and it’s up to us to use our shared expertise to find new solutions that can keep up. On our growing team you’ll find the opportunity to constantly learn, collaborate across groups and explore new paths for your career.
Our associates are given the chance to contribute, think boldly and create meaningful work that makes a difference in the communities we serve around the world. We go beyond expectations in everything we do. Not only does that drive customer success and improve patient care, but that same enthusiasm is applied to giving back to the community and taking care of our team — including offering a competitive benefits package.
R1 RCM Inc. (“the Company”) is dedicated to the fundamentals of equal employment opportunity. The Company’s employment practices, including those regarding recruitment, hiring, assignment, promotion, compensation, benefits, training, discipline, and termination shall not be based on any person’s age, color, national origin, citizenship status, physical or mental disability, medical condition, race, religion, creed, gender, sex, sexual orientation, gender identity and/or expression, genetic information, marital status, status with regard to public assistance, veteran status or any other characteristic protected by federal, state or local law. Furthermore, the Company is dedicated to providing a workplace free from harassment based on any of the foregoing protected categories.
If you have a disability and require a reasonable accommodation to complete any part of the job application process, please contact us at 312-496-7709 for assistance.
CA PRIVACY NOTICE: California resident job applicants can learn more about their privacy rights California Consent.
INTRODUCTION
R1 is the leading provider of technology-driven solutions that transform the patient experience and financial performance of hospitals, health systems, and medical groups. We are the one company that combines the deep expertise of a global workforce of revenue cycle professionals with the industry’s most advanced technology platform, encompassing sophisticated analytics, AI, intelligent automation, and workflow orchestration.
ROLE AND RESPONSIBILITIES
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 records. Every day, you will evaluate the documentation of clinical services by identifying opportunities for improving the quality of medical record documentation, including focused reviews in areas identified by CDI leadership: Mortality reviews, PSI reviews, and other identified projects. Facilitates and obtains appropriate physician documentation for any clinical conditions or procedures to support the appropriate severity of illness, expected risk of mortality, and complexity of care of the patient. Participates in ongoing documentation improvement initiatives, including formal and informal education plans related to clinical documentation improvement to providers and the CDI team.
BASIC QUALIFICATIONS
- Highly skilled in CDI practices, coding, and documentation requirements related to quality outcomes, evaluation of medical record data for accuracy and reimbursement; self-motivated to stay abreast of CMS rules and regulations and incorporate those changes into daily practice.
- Possess flexibility to work in a fast-paced and dynamic environment
- Ability and willingness to learn other applications such as electronic calendar, MS Teams, MS SharePoint, One Drive, CDE One, and other CDI platforms
- Effective interpersonal skills
- Takes initiative, works independently, is self-directed, and highly motivated in work areas
- Ability to resolve moderate to high complexity issues
- Basic computer skills to include Word, Excel, PowerPoint, and Outlook/email
- Ability to effectively provide and receive feedback, both positive and constructive. Excellent judgment and self-motivation, experience working independently with minimal supervision.
- Demonstrated judgment, critical thinking, and independent decision-making
Here’s what you will experience working as a Clinical Documentation Improvement (CDI) Specialist:
- Initiates physician interaction when ambiguous, missing, or conflicting information is in the medical record, through the physician query process and/or participation in rounding with the physicians by requesting additional documentation for correct coding and compliance necessary for accurate reflection of CMI, LOS, and optimal resource utilization.
- Educates physicians and other staff on documentation requirements, coding guidelines, and reimbursement policies
- Utilizes Hospital coding code set, policies and procedures, Federal and State coding reimbursement guidelines, and application of the Coding Clinic Guidelines to assign working DRG, reviewing patient records throughout hospitalization that have been identified as focus DRG by regulatory agencies or the facility to ensure the codes are reported at the highest specificity.
- Collaborates with coders, auditors, quality improvement teams, and other stakeholders to resolve documentation issues and improve coding accuracy
- Stays updated on the latest developments and changes in clinical documentation standards, coding rules, and regulatory requirements
- Conducts focused reviews in areas identified by CDI leadership: Mortality reviews, PSI reviews, as well as other identified projects
- Assist with onboarding and training of new CDI team members
Required Qualifications
- Associate’s Degree in Nursing (Bachelor’s Degree in Nursing is preferred)
- Three to five years of recent clinical work experience in the medical-surgical area, ICU, telemetry, and or emergency department
- An active US RN license is required
- Knowledge or experience in electronic medical records (EMR) platforms and CDI platforms
COMPENSATION
For this US-based position, the base pay range is $48,131.00 - $81,225.49 per year. Individual pay is determined by role, level, location, job-related skills, experience, and relevant education or training. This job is eligible to participate in our annual bonus plan at a target of 5.00%.
The healthcare system is always evolving — and it’s up to us to use our shared expertise to find new solutions that can keep up. On our growing team you’ll find the opportunity to constantly learn, collaborate across groups and explore new paths for your career.
Our associates are given the chance to contribute, think boldly and create meaningful work that makes a difference in the communities we serve around the world. We go beyond expectations in everything we do. Not only does that drive customer success and improve patient care, but that same enthusiasm is applied to giving back to the community and taking care of our team — including offering a competitive benefits package.
R1 RCM Inc. (“the Company”) is dedicated to the fundamentals of equal employment opportunity. The Company’s employment practices, including those regarding recruitment, hiring, assignment, promotion, compensation, benefits, training, discipline, and termination shall not be based on any person’s age, color, national origin, citizenship status, physical or mental disability, medical condition, race, religion, creed, gender, sex, sexual orientation, gender identity and/or expression, genetic information, marital status, status with regard to public assistance, veteran status or any other characteristic protected by federal, state or local law. Furthermore, the Company is dedicated to providing a workplace free from harassment based on any of the foregoing protected categories.
If you have a disability and require a reasonable accommodation to complete any part of the job application process, please contact us at 312-496-7709 for assistance.
CA PRIVACY NOTICE: California resident job applicants can learn more about their privacy rights California Consent.
See All 6 Mid Level Clinical Documentation Improvement Specialist Jobs
Find roles that match your experience and apply in just a few clicks.
Find JobsMid Level Clinical Documentation Improvement Specialist Job Market
Who's Hiring
Top Industries Hiring
- Healthcare & Medical Services
- Education
- Technology & Software
Mid Level Clinical Documentation Improvement Specialist Jobs: Frequently Asked Questions
How do I get a mid level clinical documentation improvement specialist job?
Position your experience around measurable documentation impact, such as query rates, case mix index improvements, or compliance outcomes you personally drove. Highlight your familiarity with ICD-10-CM/PCS coding guidelines, clinical query frameworks, and any cross-functional collaboration with physicians or HIM teams. Applications that tie your work to revenue integrity or quality outcomes consistently stand out at this stage.
Which companies hire mid level clinical documentation improvement specialists?
Companies hiring mid level clinical documentation improvement specialists right now include R1 RCM, Catholic Health, and University of Utah, based on current listings on Migrate Mate as of August 2026. Hiring at this level comes from health systems, acute care hospitals, physician groups, and revenue cycle management firms looking for specialists who can work independently on complex cases.
Are there remote mid level clinical documentation improvement specialist jobs?
Yes, remote work is common in this field given the chart-based nature of the role. About 50% of mid level clinical documentation improvement specialist openings are remote or hybrid as of August 2026, reflecting how extensively health organizations have moved CDI workflows off-site. Strong EHR proficiency and self-directed productivity are typically expected for fully remote positions.
How do I move up to a mid level clinical documentation improvement specialist role?
Moving into a mid level role requires building a foundation of independent query handling, deepening your clinical knowledge across DRG-heavy service lines, and demonstrating ownership of improvement projects rather than just task completion. Earning credentials like the CCDS or CDIP signals readiness, and a history of measurable impact on documentation quality or reimbursement accuracy is what closes the gap from junior to mid level.
Which industries hire the most mid level clinical documentation improvement specialists?
Mid Level clinical documentation improvement specialist roles concentrate in Healthcare & Medical Services, Education, and Technology & Software, based on current listings on Migrate Mate as of August 2026. These sectors drive hiring because complex patient populations, high inpatient volumes, and value-based care contracts create strong demand for accurate, defensible clinical documentation at every encounter.