Medasource

Clinical Documentation Improvement RN (CCDS Required)

Posted on

March 29, 2026

Job Type

Contract

Role Type

Clinical Operations

License

RN

State License

Compact / Multi-State

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Company Description

Medasource is a leading consulting and professional services firm supporting organizations across the healthcare ecosystem – including Life Sciences, RCM/Payers, Technology, Government and Nursing & Allied Health. Recognized for our commitment to our employees, consultants, and the communities we serve, we deliver solutions that drive meaningful progress across healthcare. With a nationwide footprint of 33 offices and 1,900+ active consultant placements across 120+ clients who are actively engaging Medasource talent, we continue to expand our impact as we advance the future of healthcare, one client at a time.

Job Description

Job Title: CDI Nurse Length: 6 month Contract-to-hire Location: Remote Position Summary The Clinical Documentation Special Projects Team Member supports strategic initiatives to improve the quality, accuracy, and compliance of clinical documentation across the organization. This role partners with physicians, CDI teams, coding, and IT to identify documentation gaps, implement process improvements, and enhance overall documentation integrity. Responsibilities include conducting detailed chart reviews, supporting project-based CDI initiatives, and analyzing data to measure performance and guide ongoing improvements. This individual will also provide support during high-volume periods, contribute to education and training efforts, and assist in developing workflows and documentation best practices.

Requirements

Education (one of the following): RN (BSN, ADN, or diploma) Physician Assistant (PA) RHIT or RHIA (CAHIIM-accredited program) Experience RN/PA: 3+ years in an acute care setting 5+ years CDI experience preferred RHIT/RHIA: 3+ years inpatient coding experience 5+ years CDI experience preferred 6+ years CDI or relevant experience may be considered in lieu of the above Certifications (Required) CCDS or CDIP RN/PA licensure as applicable (state-specific requirements apply) RHIT/RHIA candidates must also hold CCS certification Core Knowledge & Skills Strong knowledge of ICD-10-CM, MS-DRG, APR-DRG methodologies Deep understanding of disease processes, clinical documentation standards, and coding guidelines Experience with CDI query processes and physician engagement Proficiency in EHR systems (Epic preferred), Microsoft Office, and reporting tools Ability to analyze data, identify trends, and drive process improvement Strong communication, collaboration, and education skills Ability to work independently in a fast-paced, remote environment Work Environment: Remote position High-volume, fast-paced setting Extended periods working at a computer

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Responsibilities

Conduct comprehensive reviews of clinical documentation to identify gaps and improvement opportunities Analyze trends and report on project outcomes, KPIs, and performance metrics Collaborate cross-functionally with providers, coding, CDI leadership, and IT teams Support documentation improvement initiatives and workflow optimization Provide case review support during high-demand periods or special projects Assist with provider and staff education related to documentation, query processes, and compliance Contribute to development of documentation and coding-related policies and procedures Participate in audits, reporting, and continuous improvement initiatives

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