UASI

Clinical Documentation Integrity Specialist

UASI  •  Remote  •  8 hours ago
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Job Description

Join a Team That’s Elevating CDI Excellence!

At UASI, we're driven by a mission to improve the quality and accuracy of clinical documentation through expert CDI consulting. As we continue to grow our service offerings, we’re looking for experienced and motivated Clinical Documentation Improvement (CDI) professionals to join our dedicated team in a fully remote capacity.

This role is critical to supporting the accuracy of coded data, compliance with regulatory requirements, and improving the quality of clinical outcomes reporting. The ideal candidate will have a clinical background, excellent analytical skills, and a passion for ensuring accurate and compliant clinical documentation.

Key Responsibilities

  • Review and evaluate medical record documentation for completeness, accuracy, and compliance.
  • Collaborate with physicians, nurses, and coding professionals to ensure appropriate clinical documentation.
  • Identify opportunities for documentation improvement to support coding accuracy, reimbursement, and clinical outcomes.
  • Analyze medical records to ensure documentation supports quality care and appropriate reimbursement.
  • Formulate compliant, clinically sound physician queries.

Qualifications:

  • Experience: 2 years of clinical documentation improvement (CDI) experience.
  • Certification: Registered Nurse (RN)
  • Knowledge of ICD-10-CM, MS-DRGs, coding guidelines, and compliance standards.
  • Excellent communication, critical thinking, and organizational skills.
  • Comfortable using MS Office, email, VPNs, virtual machines, two-factor authentication, and video conferencing tools (MS Teams, Zoom, etc.).
  • Experience using 3M and Epic preferred but not required.

Why UASI?


We believe that investing in our people is key to our success. In return for your talents, we offer a full benefits package, PTO and top pay! Additional benefits include:

  • Collaborative, mission-driven team environment.
  • Opportunities for continuous learning, education and professional growth.
  • Leadership that values your expertise and input

Ready to make a difference and grow your career? We would love to hear from you!

UASI

About UASI

Since 1984, UASI has been one of the largest independent healthcare revenue cycle consulting firms in the United States. We are a nationally recognized leader in Health Information Management, delivering solutions that support optimization and strategic alignment across the mid-revenue cycle.

UASI partners with healthcare organizations to strengthen financial, clinical, and operational performance through flexible problem solving and proven expertise. Our services are designed to help clients achieve accuracy, compliance, and efficiency while aligning documentation, coding, and revenue integrity efforts with organizational goals.

UASI is a trusted partner to more than 1,100 hospital facilities and physician groups nationwide, supported by 540 nationally credentialed experts, including CCS, CCDS, CDIP, RHIA, and RN professionals. Our teams consistently deliver results, achieving 96%+ coding accuracy based on third-party audits, and earning recognition as Best in KLAS.

We offer comprehensive services and employment opportunities across Remote Coding, Coding Compliance Review, Education and Training, Clinical Documentation Improvement, HIM and Coding Interim Management, and Revenue Integrity. Our work supports mid-revenue cycle optimization by identifying opportunities, reducing risk, and delivering actionable insight that drives sustainable performance.

Our client base includes top-ranked hospitals recognized for academic excellence, research, quality, and patient care. Through this diverse client portfolio, remote employment opportunities, and multiple service lines, we engineer individualized career paths and promote balance for every employee.

As regulatory complexity and coding demands continue to increase, UASI remains grounded in the core values on which the company was founded, providing strategic, practical solutions that help healthcare organizations produce low-cost, high-quality records with confidence.

Industry
Healthcare & Social Services
Company Size
201-500 employees
Headquarters
Cincinnati, OH
Year Founded
1984
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