Registered Nurse – Clinical Documentation Improvement Specialist

🔥 1 hour ago

🔔 Pennsylvania – Remote

🔔 Pennsylvania – Remote

⏰ Full Time

🟡 Mid-level

🟠 Senior

🏥📝 Medical Writer

🦅 H1B Visa Sponsor

This company has sponsored H1B visas in the past.

Apply Now

Find Similar Remote Jobs

Set Up Email Alert For New Jobs

📊 Check your resume score for this job

Improve your chances of getting an interview by checking your resume score before you apply.

Upload Resume

Geisinger

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded 1915

🏥 Healthcare

💊 Pharmaceuticals

🧘 Wellness

Healthcare • Pharmaceuticals • Wellness

Geisinger is a healthcare organization that has been providing accessible medical services for over a century in Pennsylvania. It focuses on meeting the healthcare needs of its communities and is dedicated to innovative patient care. With career opportunities in various fields including nursing, allied health, and administration, Geisinger promotes professional development and a supportive workplace for its employees, emphasizing diversity, equity, and inclusion.

📋 Description

• Act as a liaison between clinical and coding functions • Educate physicians, medical staff, and clinical professionals on clinical documentation improvement and Revenue Management processes • Review inpatient medical records within 24–48 hours of admission • Evaluate documentation to support principal diagnosis, secondary diagnoses, procedures, DRG assignment, severity of illness, and risk of mortality • Conduct subsequent record reviews every three days through discharge • Formulate queries for missing, conflicting, or unclear documentation • Interact daily with physicians and clinical professionals to clarify and optimize documentation • Collaborate with nursing staff, nutritionists, pharmacists, physicians, and inpatient coding professionals • Resolve documentation queries before patient discharge • Meet established productivity targets for record review • Identify strategies for sustained work-process changes supporting complete and accurate documentation • Analyze and trend statistical data for the assigned patient population and identify improvement opportunities • Promote accurate principal diagnosis, procedure, supporting documentation, working DRG, and final DRG assignment • Serve as an interdisciplinary resource to promote coordination of patient care while considering age-specific, developmental, cultural, and spiritual needs

🎯 Requirements

• At least three years of RN/nursing work experience • Graduate from Specialty Training Program-Nursing required • Active Licensed Registered Nurse license in Pennsylvania required • Understanding of anatomy and physiology • Clinical knowledge of underlying etiology, principal diagnosis, diagnostic studies, and treatment modalities • Experience or proficiency with medical records systems • Communication skills • Multitasking ability • Ability to review inpatient medical records and support accurate DRG assignment, severity of illness, and risk of mortality • BSN preferred • Full-time availability for 40 scheduled hours per week

🏖️ Benefits

• Health, dental, and vision insurance • Three medical plan choices, including expanded network options • Pre-tax savings plans (FSA & HSA) • Company-paid life, short-term, and long-term disability insurance • 401(k) with automatic Geisinger contributions • Generous PTO that accrues quickly • Up to $5,000 in tuition reimbursement per calendar year • MyHealth Rewards wellness program with financial incentives • Adoption/fertility assistance • Parental leave • Military leave • Care.com membership • Employee Assistance Program (EAP), including mental health support, legal guidance, and childcare/eldercare referrals • Voluntary benefits including accident, critical illness, hospital indemnity, identity theft protection, and pet insurance • Healthcare benefits from day one for full-time and part-time positions • Domestic partner benefits • Collaborative, cooperative, and collegial work atmosphere