Medical opportunity
Pediatric CDI Specialist
Posted: August 27, 2026
Location: United States (Remote) · Type: Full-time (part-time flexible)
About the Organization
Pediatric healthcare has unique clinical, operational, documentation, quality, and reimbursement needs. This organization partners with children's hospitals and pediatric programs to develop and optimize Clinical Documentation Integrity and Physician Advisor programs, helping ensure documentation accurately reflects patient acuity, strengthens quality and operational outcomes, and supports appropriate reimbursement.
The team includes physicians, nurses, and pediatric healthcare leaders from across the country who understand the clinical and operational challenges facing children's hospitals and pediatric programs. Many continue to care for patients, participate in research, educate trainees, and serve in clinical and administrative leadership positions at children's hospitals.
Job Summary
The Pediatric Clinical Documentation Integrity Specialist (Pediatric CDIS) serves as a clinical documentation integrity expert focused on pediatric patient populations. This position partners with physicians, advanced practice providers, coding professionals, and healthcare leaders to improve the completeness, specificity, and clinical accuracy of pediatric medical records.
The Pediatric CDIS performs concurrent and retrospective reviews to ensure documentation accurately reflects patient acuity, severity of illness, risk of mortality, medical necessity, quality measures, and the complexity of care provided. This position also serves as an educator and consultant, promoting clinically supported documentation that contributes to compliant coding, accurate reimbursement, quality outcomes, and exceptional pediatric patient care.
What You'll Do
Perform concurrent and retrospective reviews of pediatric medical records to evaluate documentation completeness, clinical specificity, and accuracy
Identify documentation opportunities related to pediatric diagnoses, procedures, complications, comorbidities, severity of illness, risk of mortality, medical necessity, and quality measures
Evaluate pediatric documentation using applicable clinical indicators, ICD-10-CM/PCS guidelines, Official Coding Guidelines, and regulatory requirements
Ensure documentation accurately reflects the complexity of pediatric patient care and supports compliant code and DRG assignment
Develop compliant provider queries to clarify incomplete, conflicting, nonspecific, or clinically unsupported documentation
Follow up on outstanding queries and escalate them when appropriate
Educate pediatric physicians, advanced practice providers, residents, and multidisciplinary healthcare teams on documentation requirements and best practices
Build collaborative relationships with pediatric providers to strengthen documentation quality and clinical reliability
Participate in provider education sessions, case reviews, and documentation improvement initiatives
Partner with pediatric coding professionals to align clinical documentation with accurate code and DRG assignment
Collaborate with quality, compliance, revenue cycle, and client teams to improve documentation and quality outcomes
Identify documentation trends and opportunities for targeted provider education
Maintain accurate and timely records of reviews, queries, interventions, and outcomes
Meet established productivity, quality, accuracy, and turnaround-time expectations
Participate in second-level reviews, peer reviews, quality audits, DRG reconciliation, and continuous improvement initiatives
Support client reporting, special projects, and other pediatric CDI initiatives as assigned
Maintain current knowledge of pediatric coding guidelines, reimbursement methodologies, quality measures, and regulatory updates
Protect the confidentiality and security of patient, physician, employee, and client information
Qualifications
Required
Minimum of three years of clinical documentation integrity experience
At least one year of clinical documentation integrity experience focused specifically on pediatric patient populations
Strong understanding of pediatric physiology, disease processes, treatments, clinical indicators, and documentation requirements
Experience reviewing pediatric medical records and identifying documentation and query opportunities
Working knowledge of ICD-10-CM/PCS, Official Coding Guidelines, MS-DRG and APR-DRG methodology, severity of illness, risk of mortality, medical necessity, and quality reporting
Knowledge of compliant query practices and applicable AHIMA and ACDIS guidance
Ability to evaluate complex pediatric medical records using sound clinical judgment and critical-thinking skills
Experience collaborating with physicians, advanced practice providers, coding professionals, and multidisciplinary healthcare teams
Strong written, verbal, interpersonal, and provider-education skills
Excellent analytical, organizational, and problem-solving abilities
Proficiency with electronic health records and CDI software
Ability to work independently in a remote environment while managing multiple priorities and consistently meeting quality and productivity expectations
One or more of the following active credentials:
Registered Nurse (RN)
Certified Clinical Documentation Specialist (CCDS)
Certified Documentation Integrity Practitioner (CDIP)
Preferred
Experience reviewing NICU or PICU encounters
Experience performing second-level reviews, peer reviews, quality audits, mortality reviews, or DRG reconciliation
Experience educating and engaging pediatric physicians and advanced practice providers
Work Environment & Expectations
Fully remote, full-time (40 hours per week) or part-time (flexible)
Company-issued equipment provided (for full-time employees only)
Dedicated secure home workspace required
High-speed internet connection required
Strict adherence to HIPAA Privacy and Security requirements
Ability to work independently while maintaining productivity and quality expectations
Compensation & Benefits
Comprehensive medical, dental, and vision insurance
401(k) with company match
Generous paid time off plus eight paid holidays
100% remote work environment with company-provided equipment
Professional development, continuing education, leadership training, and internal career growth opportunities
Complimentary annual CEUs
Access to advanced coding education and learning resources
Employee wellness resources and discount programs
Referral bonus opportunities
Structured onboarding
Hiring Process
Multiple-choice assessment
Video interview with the Hiring Manager (must be on camera)
Equal Employment Opportunity
Employment decisions are made without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other protected characteristic.
About the Organization
Pediatric healthcare has unique clinical, operational, documentation, quality, and reimbursement needs. This organization partners with children's hospitals and pediatric programs to develop and optimize Clinical Documentation Integrity and Physician Advisor programs, helping ensure documentation accurately reflects patient acuity, strengthens quality and operational outcomes, and supports appropriate reimbursement.
The team includes physicians, nurses, and pediatric healthcare leaders from across the country who understand the clinical and operational challenges facing children's hospitals and pediatric programs. Many continue to care for patients, participate in research, educate trainees, and serve in clinical and administrative leadership positions at children's hospitals.
Job Summary
The Pediatric Clinical Documentation Integrity Specialist (Pediatric CDIS) serves as a clinical documentation integrity expert focused on pediatric patient populations. This position partners with physicians, advanced practice providers, coding professionals, and healthcare leaders to improve the completeness, specificity, and clinical accuracy of pediatric medical records.
The Pediatric CDIS performs concurrent and retrospective reviews to ensure documentation accurately reflects patient acuity, severity of illness, risk of mortality, medical necessity, quality measures, and the complexity of care provided. This position also serves as an educator and consultant, promoting clinically supported documentation that contributes to compliant coding, accurate reimbursement, quality outcomes, and exceptional pediatric patient care.
What You'll Do
Perform concurrent and retrospective reviews of pediatric medical records to evaluate documentation completeness, clinical specificity, and accuracy
Identify documentation opportunities related to pediatric diagnoses, procedures, complications, comorbidities, severity of illness, risk of mortality, medical necessity, and quality measures
Evaluate pediatric documentation using applicable clinical indicators, ICD-10-CM/PCS guidelines, Official Coding Guidelines, and regulatory requirements
Ensure documentation accurately reflects the complexity of pediatric patient care and supports compliant code and DRG assignment
Develop compliant provider queries to clarify incomplete, conflicting, nonspecific, or clinically unsupported documentation
Follow up on outstanding queries and escalate them when appropriate
Educate pediatric physicians, advanced practice providers, residents, and multidisciplinary healthcare teams on documentation requirements and best practices
Build collaborative relationships with pediatric providers to strengthen documentation quality and clinical reliability
Participate in provider education sessions, case reviews, and documentation improvement initiatives
Partner with pediatric coding professionals to align clinical documentation with accurate code and DRG assignment
Collaborate with quality, compliance, revenue cycle, and client teams to improve documentation and quality outcomes
Identify documentation trends and opportunities for targeted provider education
Maintain accurate and timely records of reviews, queries, interventions, and outcomes
Meet established productivity, quality, accuracy, and turnaround-time expectations
Participate in second-level reviews, peer reviews, quality audits, DRG reconciliation, and continuous improvement initiatives
Support client reporting, special projects, and other pediatric CDI initiatives as assigned
Maintain current knowledge of pediatric coding guidelines, reimbursement methodologies, quality measures, and regulatory updates
Protect the confidentiality and security of patient, physician, employee, and client information
Qualifications
Required
Minimum of three years of clinical documentation integrity experience
At least one year of clinical documentation integrity experience focused specifically on pediatric patient populations
Strong understanding of pediatric physiology, disease processes, treatments, clinical indicators, and documentation requirements
Experience reviewing pediatric medical records and identifying documentation and query opportunities
Working knowledge of ICD-10-CM/PCS, Official Coding Guidelines, MS-DRG and APR-DRG methodology, severity of illness, risk of mortality, medical necessity, and quality reporting
Knowledge of compliant query practices and applicable AHIMA and ACDIS guidance
Ability to evaluate complex pediatric medical records using sound clinical judgment and critical-thinking skills
Experience collaborating with physicians, advanced practice providers, coding professionals, and multidisciplinary healthcare teams
Strong written, verbal, interpersonal, and provider-education skills
Excellent analytical, organizational, and problem-solving abilities
Proficiency with electronic health records and CDI software
Ability to work independently in a remote environment while managing multiple priorities and consistently meeting quality and productivity expectations
One or more of the following active credentials:
Registered Nurse (RN)
Certified Clinical Documentation Specialist (CCDS)
Certified Documentation Integrity Practitioner (CDIP)
Preferred
Experience reviewing NICU or PICU encounters
Experience performing second-level reviews, peer reviews, quality audits, mortality reviews, or DRG reconciliation
Experience educating and engaging pediatric physicians and advanced practice providers
Work Environment & Expectations
Fully remote, full-time (40 hours per week) or part-time (flexible)
Company-issued equipment provided (for full-time employees only)
Dedicated secure home workspace required
High-speed internet connection required
Strict adherence to HIPAA Privacy and Security requirements
Ability to work independently while maintaining productivity and quality expectations
Compensation & Benefits
Comprehensive medical, dental, and vision insurance
401(k) with company match
Generous paid time off plus eight paid holidays
100% remote work environment with company-provided equipment
Professional development, continuing education, leadership training, and internal career growth opportunities
Complimentary annual CEUs
Access to advanced coding education and learning resources
Employee wellness resources and discount programs
Referral bonus opportunities
Structured onboarding
Hiring Process
Multiple-choice assessment
Video interview with the Hiring Manager (must be on camera)
Equal Employment Opportunity
Employment decisions are made without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other protected characteristic.