Remote CDI Specialist Jobs
Remote CDI Specialist jobs are in active demand across the U.S., with remote-first healthcare organizations and distributed clinical documentation teams posting openings in health systems, managed care, and revenue cycle management. Employers hiring remotely right now include Nascentia Health, UASI, and Solventum. See the openings below and apply to the ones that match your experience.
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The Senior Clinical Documentation Integrity (CDI) & Coding Specialist will support clinical documentation accuracy, HEDIS quality measurement, risk adjustment, and coding integrity across health plan operations.This position will serve as an internal coding and documentation subject matter expert, working collaboratively with Quality Improvement, Utilization Management, Clinical Operations, Provider Relations, and other departments.
The specialist will utilize Inovalon solutions to support HEDIS medical record retrieval and abstraction, clinical data validation, risk adjustment, and identification of coding and documentation opportunities. The position will also support the development of standardized workflows, provider education, and internal coding capabilities. | This is a Remote Role | Monday–Friday, 8:00 AM–4:30 PM.
Performance Responsibilities and Standards:
Clinical Documentation Integrity & Coding
- Review medical records to evaluate documentation completeness, clinical specificity, and coding accuracy.
- Validate ICD-10-CM, CPT, CPT II, and HCPCS coding against supporting clinical documentation and applicable coding guidelines.
- Identify missing, inconsistent, or unsupported documentation and recommend compliant clarification or correction.
- Conduct prospective and retrospective coding reviews.
- Support coding audits, documentation improvement initiatives, and regulatory compliance.
- Serve as an internal coding resource for clinical, quality, and operational teams.
HEDIS & Quality Improvement
- Support HEDIS medical record review, abstraction, and validation activities.
- Identify documentation supporting HEDIS measure compliance and appropriate gap closure.
- Review clinical records for services completed but not accurately represented in available clinical or claims data.
- Evaluate coding opportunities involving CPT II, procedure, and diagnosis codes relevant to quality reporting.
- Support supplemental data validation, medical record audits, and data reconciliation.
Risk Adjustment & HCC Coding
- Review medical records to validate risk-adjustable diagnoses and supporting clinical documentation.
- Identify documentation gaps, coding inaccuracies, and opportunities for compliant provider clarification.
- Support CMS-HCC coding accuracy and risk adjustment data integrity.
- Conduct prospective and retrospective risk adjustment reviews.
- Assist with risk adjustment audits, coding validation, and documentation improvement initiatives.
- Collaborate with provider-facing teams to strengthen documentation of chronic and complex conditions.
Required Qualifications:
- Active CPC, CCS, CRC, or equivalent nationally recognized coding certification.
- Minimum 3–5 years of relevant experience in medical coding, clinical documentation improvement, risk adjustment, or clinical data validation.
- Strong knowledge of ICD-10-CM coding guidelines and clinical documentation requirements.
- Experience with Medicare Advantage, Managed Care, or Health Plan operations.
- Working knowledge of HEDIS quality measurement and CMS-HCC risk adjustment methodologies.
- Experience reviewing medical records for coding accuracy and documentation completeness.
- Strong analytical, communication, and problem-solving skills.
- Ability to work independently and collaborate across multiple departments
Preferred Qualifications:
- Experience with HEHands-on experience with Inovalon solutions supporting both HEDIS and risk adjustment workflows.
- DIS medical record retrieval, abstraction, and validation.
- Familiarity with NCQA HEDIS specifications, CMS requirements, and audit processes.
- Experience supporting D-SNP or I-SNP populations.
- Knowledge of CPT II codes and quality-related claims reporting.
- CCDS, CDIP, or additional relevant certification.
- Experience with clinical data reconciliation, reporting, and workflow optimization.
Physical Requirements:
- This role offers the benefits of a remote-first work environment, supporting work-life balance and flexibility. Employees may occasionally attend in-person training or team events a few times per year.
- Standard postures include standing, sitting, bending, walking, and driving.
- Frequently uses a laptop computer to enter orders and obtain product information.
- Sensory requirements include speech, vision, smell, and hearing.
- Lifting requirements of up to 20 pounds frequently and up to 50 pounds occasionally
- Bloodborne Pathogens Exposure Category III - Employee who rarely has contact with blood and body fluids.
Compensation & Benefits:
Competitive Salary [This is an S05/S05a exempt position with a min-max rate of: $90,340.00- $109,028.00 /annually]with:
- Retention bonuses
- 401k with generous Employer match
- Medical, Dental, Vision plans
- Tuition Reimbursement for BSN after 6 months of employment
- Exceptional work/life balance - no rotating shifts, holidays or weekends
- Partially funded HSA
- Employee Recognition Platform
- Paid Time Off, Holidays, and Extended Sick Leave
- Short/Long term Disability
- Employee Assistance Program (EAP)
- Much More!
________________________________________________
About Nascentia Health:
Nascentia Health is leading the way in home care, post acute care and long-term community health. A healthcare system without walls, Nascentia is an innovator in the concept of healthcare, truly focused on the patient as a whole. By serving people in their homes, Nascentia Health is able to provide true holistic care. We can address immediate needs, help support positive long term medical and lifestyle choices that provide for better outcomes, leverage cutting edge in-home care technologies, and help avoid unnecessary visits to busy healthcare facilities.
Our employees are our greatest asset. They work hard every day to make our system amazing and are dedicated to our mission of being the premier home and community-based care system for the regions we serve. We want everyone to love what they do, be excited about coming to work, and take pride in being part of our team.
________________________________________________
Nascentia Health is an Equal Opportunity Employer (EOE)
Employment is contingent upon negative results of a pre-hire drug screen
The Senior Clinical Documentation Integrity (CDI) & Coding Specialist will support clinical documentation accuracy, HEDIS quality measurement, risk adjustment, and coding integrity across health plan operations.This position will serve as an internal coding and documentation subject matter expert, working collaboratively with Quality Improvement, Utilization Management, Clinical Operations, Provider Relations, and other departments.
The specialist will utilize Inovalon solutions to support HEDIS medical record retrieval and abstraction, clinical data validation, risk adjustment, and identification of coding and documentation opportunities. The position will also support the development of standardized workflows, provider education, and internal coding capabilities. | This is a Remote Role | Monday–Friday, 8:00 AM–4:30 PM.
Performance Responsibilities and Standards:
Clinical Documentation Integrity & Coding
- Review medical records to evaluate documentation completeness, clinical specificity, and coding accuracy.
- Validate ICD-10-CM, CPT, CPT II, and HCPCS coding against supporting clinical documentation and applicable coding guidelines.
- Identify missing, inconsistent, or unsupported documentation and recommend compliant clarification or correction.
- Conduct prospective and retrospective coding reviews.
- Support coding audits, documentation improvement initiatives, and regulatory compliance.
- Serve as an internal coding resource for clinical, quality, and operational teams.
HEDIS & Quality Improvement
- Support HEDIS medical record review, abstraction, and validation activities.
- Identify documentation supporting HEDIS measure compliance and appropriate gap closure.
- Review clinical records for services completed but not accurately represented in available clinical or claims data.
- Evaluate coding opportunities involving CPT II, procedure, and diagnosis codes relevant to quality reporting.
- Support supplemental data validation, medical record audits, and data reconciliation.
Risk Adjustment & HCC Coding
- Review medical records to validate risk-adjustable diagnoses and supporting clinical documentation.
- Identify documentation gaps, coding inaccuracies, and opportunities for compliant provider clarification.
- Support CMS-HCC coding accuracy and risk adjustment data integrity.
- Conduct prospective and retrospective risk adjustment reviews.
- Assist with risk adjustment audits, coding validation, and documentation improvement initiatives.
- Collaborate with provider-facing teams to strengthen documentation of chronic and complex conditions.
Required Qualifications:
- Active CPC, CCS, CRC, or equivalent nationally recognized coding certification.
- Minimum 3–5 years of relevant experience in medical coding, clinical documentation improvement, risk adjustment, or clinical data validation.
- Strong knowledge of ICD-10-CM coding guidelines and clinical documentation requirements.
- Experience with Medicare Advantage, Managed Care, or Health Plan operations.
- Working knowledge of HEDIS quality measurement and CMS-HCC risk adjustment methodologies.
- Experience reviewing medical records for coding accuracy and documentation completeness.
- Strong analytical, communication, and problem-solving skills.
- Ability to work independently and collaborate across multiple departments
Preferred Qualifications:
- Experience with HEHands-on experience with Inovalon solutions supporting both HEDIS and risk adjustment workflows.
- DIS medical record retrieval, abstraction, and validation.
- Familiarity with NCQA HEDIS specifications, CMS requirements, and audit processes.
- Experience supporting D-SNP or I-SNP populations.
- Knowledge of CPT II codes and quality-related claims reporting.
- CCDS, CDIP, or additional relevant certification.
- Experience with clinical data reconciliation, reporting, and workflow optimization.
Physical Requirements:
- This role offers the benefits of a remote-first work environment, supporting work-life balance and flexibility. Employees may occasionally attend in-person training or team events a few times per year.
- Standard postures include standing, sitting, bending, walking, and driving.
- Frequently uses a laptop computer to enter orders and obtain product information.
- Sensory requirements include speech, vision, smell, and hearing.
- Lifting requirements of up to 20 pounds frequently and up to 50 pounds occasionally
- Bloodborne Pathogens Exposure Category III - Employee who rarely has contact with blood and body fluids.
Compensation & Benefits:
Competitive Salary [This is an S05/S05a exempt position with a min-max rate of: $90,340.00- $109,028.00 /annually]with:
- Retention bonuses
- 401k with generous Employer match
- Medical, Dental, Vision plans
- Tuition Reimbursement for BSN after 6 months of employment
- Exceptional work/life balance - no rotating shifts, holidays or weekends
- Partially funded HSA
- Employee Recognition Platform
- Paid Time Off, Holidays, and Extended Sick Leave
- Short/Long term Disability
- Employee Assistance Program (EAP)
- Much More!
________________________________________________
About Nascentia Health:
Nascentia Health is leading the way in home care, post acute care and long-term community health. A healthcare system without walls, Nascentia is an innovator in the concept of healthcare, truly focused on the patient as a whole. By serving people in their homes, Nascentia Health is able to provide true holistic care. We can address immediate needs, help support positive long term medical and lifestyle choices that provide for better outcomes, leverage cutting edge in-home care technologies, and help avoid unnecessary visits to busy healthcare facilities.
Our employees are our greatest asset. They work hard every day to make our system amazing and are dedicated to our mission of being the premier home and community-based care system for the regions we serve. We want everyone to love what they do, be excited about coming to work, and take pride in being part of our team.
________________________________________________
Nascentia Health is an Equal Opportunity Employer (EOE)
Employment is contingent upon negative results of a pre-hire drug screen
See All 10 Remote CDI Specialist Jobs
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Find Remote CDI Specialist JobsRemote CDI Specialist Job Market
Who's Hiring
What Employers Look For
The qualifications that appear most often in remote CDI specialist jobs.
- Registered Nurse or Health Information Management degree with clinical documentation experience
- CCDS or CDIP certification from ACDIS or AHIMA
- Proficiency with clinical documentation improvement software and electronic health record systems
- Knowledge of ICD-10-CM and ICD-10-PCS coding guidelines and DRG methodology
- Ability to formulate compliant physician queries under AHIMA and ACDIS query practice guidelines
- Experience with case mix index analysis and CC/MCC capture improvement initiatives
Tips for Your Remote CDI Specialist Job Search
Apply early to remote roles that fit
Migrate Mate lists remote cdi specialist openings from across the U.S. in one place, so you can find roles that match your credentials and query specialization and apply directly without sorting through unrelated postings.
Prove your remote productivity upfront
Remote cdi specialist employers want numbers before they interview. Lead with your average daily query volume, physician response rate, and specificity capture rate in your resume and cover letter so hiring managers see output, not just credentials.
Show fluency with remote CDI tools
Name the specific platforms you use, including encoder software, EHR systems like Epic or Cerner, and any CDI workflow tools, in your application materials. Remote teams expect you to be fully productive in their tech stack from your first week.
Prepare for async clinical communication
Remote cdi specialist interviews often include a written scenario where you draft a physician query. Practice writing clear, compliant queries that meet the ACDIS and AHIMA guidelines for professional practice, since remote employers evaluate your written clinical communication before anything else.
Remote CDI Specialist Jobs: Frequently Asked Questions
How do I get a remote cdi specialist job?
Landing a remote cdi specialist role comes down to demonstrating that you can work independently with clinical data and communicate clearly in writing without real-time supervision. Remote employers screen for proficiency with encoder software, EHR platforms, and query management tools, plus the ability to meet productivity targets without on-site oversight. Candidates who show documented query rates, specificity capture experience, and comfort with asynchronous workflows stand out.
Which companies hire remote cdi specialists?
Companies hiring remote cdi specialists right now include Nascentia Health, UASI, and Solventum, based on current remote listings on Migrate Mate as of November 2026. Remote cdi specialist roles are concentrated at remote-first health information management firms, distributed revenue cycle teams, and large health systems that have moved their CDI programs off-site.
Can you get a remote cdi specialist job with no experience?
Yes, but remote entry-level cdi specialist roles are harder to land because employers expect you to handle clinical documentation queries independently from day one. Remote-first revenue cycle companies and health information management firms are more likely to hire candidates new to CDI if they hold an RHIA, RHIT, or CCS credential, have strong clinical background as an RN or allied health professional, and can show familiarity with ICD-10-CM and ICD-10-PCS coding conventions.
Do you need a degree for remote cdi specialist jobs?
Not always. Remote employers in clinical documentation commonly weigh credentials like CCDS or CDIP, hands-on clinical experience as a registered nurse or health information technician, and demonstrated coding accuracy over a four-year degree alone. A strong combination of clinical licensure, a recognized CDI certification, and a portfolio showing query outcomes can open remote roles even without a traditional healthcare informatics degree.
See All 10 Remote CDI Specialist Jobs
Find roles that match your experience and apply in just a few clicks.
Find Remote CDI Specialist Jobs