Clinical Documentation Specialist - Remote

Overview

The Clinical Documentation Specialist (CDS) at Trinity Health Ann Arbor is responsible for improving the integrity of clinical documentation across inpatient care settings through advanced clinical and coding expertise.

In Short

• Fully remote position with flexible scheduling options.
• Full-time benefited position, 40 hours per week.
• Requires an Associate/Diploma Degree in Nursing or Health Information Technology.
• Must have relevant certifications such as RN License or RHIA/RHIT.
• Experience in Critical Care or Inpatient Care Nursing preferred.
• Involves extensive interaction with healthcare providers to ensure documentation quality.
• Conducts reviews of patient health records for clarity and completeness.
• Educates staff on clinical documentation requirements.
• Collaborates with coding staff for accurate documentation of diagnoses.
• Competitive compensation and comprehensive benefits package.

Requirements

• Associate/Diploma Degree in Nursing or Health Information Technology.
• Current Registered Nurse License or relevant certifications.
• Two years of experience in Critical Care or Inpatient Care preferred.
• Strong understanding of clinical documentation standards.
• Ability to communicate effectively with healthcare teams.
• Knowledge of coding practices and compliance.
• Detail-oriented with strong analytical skills.
• Ability to work independently and remotely.

Benefits

• Competitive compensation.
• Full benefits including Medical, Dental, Vision.
• PTO and Life Insurance offered.
• Short and Long-term Disability coverage.
• Retirement savings plan with employer match.
• Tuition Reimbursement for professional development.
• Opportunity for growth and advancement.
• Benefits effective from Day One.