Mid Level Documentation Specialist Jobs
Mid level documentation specialist jobs go to professionals ready to own documentation projects end to end, set standards for junior writers, and make content decisions with minimal oversight. Roles are spread across on-site, remote, and hybrid settings in Healthcare & Medical Services, Education, and Insurance, with employers like Innophos, xAI, and Centivo hiring at this level now.
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Showing 5 of 31+ Mid Level Documentation Specialist jobs
Exempt
QUALIFICATIONS
EDUCATION
- Graduate of education program approved by the credentialing body for the required credential(s) indicated below in the Certifications, Licenses and Registrations section
EXPERIENCE
- Five years of recent clinical experience caring for adults in an acute care hospital setting
- Coding and utilization review experience preferred
LICENSES AND CERTIFICATIONS
Required
- RN - Registered Nurse - Texas State Licensure - Texas Board of Nursing_PSV Compact Licensure – Must obtain permanent Texas license within 60 days (if establishing Texas residency)
- CCDS - Clinical Documentation Specialists (ACDIS) or
- CDIP - Certified Documentation Integrity Practitioner (AHIMA) or
- CCS - Certified Coding Specialist (AHIMA)
KNOWLEDGE AND ABILITIES
- Demonstrates the skills and competencies necessary to safely perform the assigned job, determined through ongoing skills, competency assessments, and performance evaluations
- Sufficient proficiency in speaking, reading, and writing the English language necessary to perform the essential functions of this job, especially with regard to activities impacting patient or employee safety or security
- Ability to effectively communicate with patients, physicians, family members and co-workers in a manner consistent with a customer service focus and application of positive language principles
- Demonstrates knowledge of DRG payor issues, appropriate DRG assignment alternatives, clinical documentation requirements, and referral policies and procedures
- Demonstrates accountability and professional development
- Excellent observation skills, analytical thinking, problem solving, plus good verbal and written communication
- Regular significant contacts with other personnel throughout the institution (including but not limited to physicians and their staff, mid-level providers, mid-level staff, coders, Case Managers). Contacts may be in person, by telephone, or through correspondence Requires assertiveness while being even tempered, with a pleasing personality and the ability to communicate easily with others
ESSENTIAL FUNCTIONS
PEOPLE ESSENTIAL FUNCTIONS
- Improves the overall quality, completeness and accuracy of clinical documentation by performing open record reviews using clinical documentation guidelines.
- Supports the accuracy and completeness of clinical information used for measuring and reporting physician and medical outcomes.
SERVICE ESSENTIAL FUNCTIONS
- Seeks additional information regarding clinical condition from appropriate clinical personnel and follows up as necessary.
- Tracks responses and trends completion of DRG/Documentation worksheets as pertinent to scope of department.
- Conducts follow-up reviews of clinical documentation to ensure points of clarification have been recorded in the patient’s chart.
QUALITY/SAFETY ESSENTIAL FUNCTIONS
- Demonstrates knowledge of DRG payor issues, optimization strategies, clinical documentation requirements and referral policies and procedures.
- Requests clarification and/or correction from physicians for unclear diagnoses, complications, procedures, and clinical information.
- Helps identify appropriate ICD10 codes for diagnoses or procedures related to projects or studies being conducted as needed.
FINANCE ESSENTIAL FUNCTIONS
- Promotes clarification to clinical documentation to ensure that appropriate reimbursement is received for the level of service rendered to all patients.
- Identifies diagnoses and procedures performed and comorbidities and complications.
- Impacts discharges by updating the DRG worksheet to reflect any changes in status, procedures/treatments, conferring with physician to finalize diagnosis as necessary.
GROWTH/INNOVATION ESSENTIAL FUNCTIONS Educates all internal customers on clinical documentation opportunities, coding, and reimbursement issues, as well as performance improvement methodologies.
SUPPLEMENTAL REQUIREMENTS
-
WORK ATTIRE
- Uniform: No
- Scrubs: No
- Business professional: Yes
- Other (department approved): No
- Note that employees may be required to be on-call during emergencies (ie. Disaster, Severe Weather Events, etc) regardless of selection below.
- On Call* No
- May require travel within the Houston Metropolitan area No
- May require travel outside Houston Metropolitan area No
ON-CALL*
TRAVEL**
**Travel specifications may vary by department**
EDUCATION
- Graduate of education program approved by the credentialing body for the required credential(s) indicated below in the Certifications, Licenses and Registrations section
EXPERIENCE
- Five years of recent clinical experience caring for adults in an acute care hospital setting
- Coding and utilization review experience preferred
LICENSES AND CERTIFICATIONS
Required
- RN - Registered Nurse - Texas State Licensure - Texas Board of Nursing_PSV Compact Licensure – Must obtain permanent Texas license within 60 days (if establishing Texas residency)
- CCDS - Clinical Documentation Specialists (ACDIS) or
- CDIP - Certified Documentation Integrity Practitioner (AHIMA) or CCS - Certified Coding Specialist (AHIMA)
Company Profile:
Houston Methodist is one of the nation’s leading health systems and academic medical centers. The health system consists of eight hospitals: Houston Methodist Hospital, its flagship academic hospital in the Texas Medical Center, seven community hospitals and one long-term acute care hospital throughout the Greater Houston metropolitan area. Houston Methodist also includes a research institute; a comprehensive residency program; international patient services; freestanding comprehensive care clinics, emergency care and imaging centers; and outpatient facilities. Come lead with us!
Houston Methodist is an Equal Opportunity Employer.
Exempt
QUALIFICATIONS
EDUCATION
- Graduate of education program approved by the credentialing body for the required credential(s) indicated below in the Certifications, Licenses and Registrations section
EXPERIENCE
- Five years of recent clinical experience caring for adults in an acute care hospital setting
- Coding and utilization review experience preferred
LICENSES AND CERTIFICATIONS
Required
- RN - Registered Nurse - Texas State Licensure - Texas Board of Nursing_PSV Compact Licensure – Must obtain permanent Texas license within 60 days (if establishing Texas residency)
- CCDS - Clinical Documentation Specialists (ACDIS) or
- CDIP - Certified Documentation Integrity Practitioner (AHIMA) or
- CCS - Certified Coding Specialist (AHIMA)
KNOWLEDGE AND ABILITIES
- Demonstrates the skills and competencies necessary to safely perform the assigned job, determined through ongoing skills, competency assessments, and performance evaluations
- Sufficient proficiency in speaking, reading, and writing the English language necessary to perform the essential functions of this job, especially with regard to activities impacting patient or employee safety or security
- Ability to effectively communicate with patients, physicians, family members and co-workers in a manner consistent with a customer service focus and application of positive language principles
- Demonstrates knowledge of DRG payor issues, appropriate DRG assignment alternatives, clinical documentation requirements, and referral policies and procedures
- Demonstrates accountability and professional development
- Excellent observation skills, analytical thinking, problem solving, plus good verbal and written communication
- Regular significant contacts with other personnel throughout the institution (including but not limited to physicians and their staff, mid-level providers, mid-level staff, coders, Case Managers). Contacts may be in person, by telephone, or through correspondence Requires assertiveness while being even tempered, with a pleasing personality and the ability to communicate easily with others
ESSENTIAL FUNCTIONS
PEOPLE ESSENTIAL FUNCTIONS
- Improves the overall quality, completeness and accuracy of clinical documentation by performing open record reviews using clinical documentation guidelines.
- Supports the accuracy and completeness of clinical information used for measuring and reporting physician and medical outcomes.
SERVICE ESSENTIAL FUNCTIONS
- Seeks additional information regarding clinical condition from appropriate clinical personnel and follows up as necessary.
- Tracks responses and trends completion of DRG/Documentation worksheets as pertinent to scope of department.
- Conducts follow-up reviews of clinical documentation to ensure points of clarification have been recorded in the patient’s chart.
QUALITY/SAFETY ESSENTIAL FUNCTIONS
- Demonstrates knowledge of DRG payor issues, optimization strategies, clinical documentation requirements and referral policies and procedures.
- Requests clarification and/or correction from physicians for unclear diagnoses, complications, procedures, and clinical information.
- Helps identify appropriate ICD10 codes for diagnoses or procedures related to projects or studies being conducted as needed.
FINANCE ESSENTIAL FUNCTIONS
- Promotes clarification to clinical documentation to ensure that appropriate reimbursement is received for the level of service rendered to all patients.
- Identifies diagnoses and procedures performed and comorbidities and complications.
- Impacts discharges by updating the DRG worksheet to reflect any changes in status, procedures/treatments, conferring with physician to finalize diagnosis as necessary.
GROWTH/INNOVATION ESSENTIAL FUNCTIONS Educates all internal customers on clinical documentation opportunities, coding, and reimbursement issues, as well as performance improvement methodologies.
SUPPLEMENTAL REQUIREMENTS
-
WORK ATTIRE
- Uniform: No
- Scrubs: No
- Business professional: Yes
- Other (department approved): No
- Note that employees may be required to be on-call during emergencies (ie. Disaster, Severe Weather Events, etc) regardless of selection below.
- On Call* No
- May require travel within the Houston Metropolitan area No
- May require travel outside Houston Metropolitan area No
ON-CALL*
TRAVEL**
**Travel specifications may vary by department**
EDUCATION
- Graduate of education program approved by the credentialing body for the required credential(s) indicated below in the Certifications, Licenses and Registrations section
EXPERIENCE
- Five years of recent clinical experience caring for adults in an acute care hospital setting
- Coding and utilization review experience preferred
LICENSES AND CERTIFICATIONS
Required
- RN - Registered Nurse - Texas State Licensure - Texas Board of Nursing_PSV Compact Licensure – Must obtain permanent Texas license within 60 days (if establishing Texas residency)
- CCDS - Clinical Documentation Specialists (ACDIS) or
- CDIP - Certified Documentation Integrity Practitioner (AHIMA) or CCS - Certified Coding Specialist (AHIMA)
Company Profile:
Houston Methodist is one of the nation’s leading health systems and academic medical centers. The health system consists of eight hospitals: Houston Methodist Hospital, its flagship academic hospital in the Texas Medical Center, seven community hospitals and one long-term acute care hospital throughout the Greater Houston metropolitan area. Houston Methodist also includes a research institute; a comprehensive residency program; international patient services; freestanding comprehensive care clinics, emergency care and imaging centers; and outpatient facilities. Come lead with us!
Houston Methodist is an Equal Opportunity Employer.
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Who's Hiring
Top Industries Hiring
- Healthcare & Medical Services17
- Education2
- Insurance2
- Chemicals & Materials2
- Technology & Software2
Mid Level Documentation Specialist Jobs: Frequently Asked Questions
How do I get a mid level documentation specialist job?
Position yourself around ownership, not just output. Highlight documentation you led from outline to publication, standards or templates you introduced, and cross-functional projects where you drove decisions. Strong applicants show they can manage a documentation set independently, handle stakeholder feedback, and produce consistently accurate content under real deadlines. A portfolio with varied formats, such as API references, user guides, or SOPs, strengthens your case considerably.
Which companies hire mid level documentation specialists?
Companies hiring mid level documentation specialists right now include Innophos, xAI, and Centivo, based on current listings on Migrate Mate as of August 2026. Hiring at this level tends to come from technology firms, healthcare organizations, financial services companies, and manufacturers that rely on regulated or technical documentation to support complex products and compliance requirements.
Are there remote mid level documentation specialist jobs?
Yes, remote and hybrid options are common at this experience level. About 47% of mid level documentation specialist openings are remote or hybrid as of August 2026, reflecting how well documentation work translates to distributed teams. Fully on-site roles still exist, particularly in regulated industries where physical access to equipment, labs, or classified systems is required.
How do I move up to a mid level documentation specialist role?
Growth from entry level to mid level comes from accumulating ownership, not just time. Focus on taking full responsibility for documentation projects rather than contributing to someone else's, building measurable improvements like reduced support tickets or faster onboarding, and deepening expertise in a technical domain or content type. Demonstrating that you can set quality standards and work independently across a documentation lifecycle signals genuine mid level readiness.
Which industries hire the most mid level documentation specialists?
Mid Level documentation specialist roles concentrate in Healthcare & Medical Services, Education, and Insurance, based on current listings on Migrate Mate as of August 2026. These sectors drive consistent hiring at the mid level because their products, systems, or regulatory obligations require documentation that is accurate, versioned, and maintained over time, creating sustained demand for specialists who can own that work independently.