Registered Nurse - Clinical Documentation Improvement Specialist

Location Work from Home Job Category RN - Registered Nurse, Nursing and Nursing Support Schedule Days Work Type Full time Department Revenue Management Clinical Documentation Improvement Team Date posted 09/25/2026 Job ID R-09423

Job Summary

As one of the Top 8 Most Innovative Healthcare Systems in Becker’s Hospital Review, we’re working to create a national model for improving health. Today, we’re focused on bringing our region services that improve every facet of life to drive total health, inside and out. Through professional growth, quality improvement, and interdisciplinary collaboration, we’ve built an innovative culture that allows nurses to grow their skillsets, develop their practice, and leverage their years of experience to build a rewarding, lasting career with impact.

Job Duties

The RN CDI Specialist acts as a liaison between the clinical and coding functions. Provides education to the medical staff and other clinical professional on documentation relevant to the Revenue Management processes and Discharge Not Final Billed reduction. Provides daily interactions with physicians and clinical professionals regarding documentation clarification and optimization.

It is expected that the CDIS have previous clinical skills, including an understanding of Anatomy and Physiology in order to appropriately discuss with the physician such issues as the underlying etiology, principal diagnosis, diagnostic studies, treatment modalities, to name a few. The essential focus of this position is to analyze the clinical information, using the documentation as the primary driver for overall System Case Mix Index.

• At least of three (3) years RN work experience is required.

• BSN is strongly preferred.

• This role is full-time, 40 hours weekly.

Benefits at Geisinger

We offer a comprehensive benefits package starting on day one, including:

• 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

• Family-friendly support : adoption/fertility assistance, parental leave, military leave, and Care.com membership

• Employee Assistance Program (EAP) : mental health, legal guidance, childcare/eldercare referrals, and more

• Voluntary

benefits

accident, critical illness, hospital indemnity, identity theft protection, pet insurance, and more

Position Details

The Clinical Documentation Improvement Program (CDI) is designed to improve the physician’s documentation in the patient’s medical record, supporting the appropriate severity of illness, expected risk of mortality and complexity of care of the patient. The role of the Clinical Documentation Improvement Specialist (CDIS) is to assist the providers with accurately identifying and documenting the healthcare services provided to the patient. This is accomplished with the recognition of complete and accurate diagnoses, procedures performed, and the treatment provided.

The core of the program uses highly trained staff members to perform a concurrent inpatient review of the record. This allows the record to be coded post discharge in a timely and accurate manner. A highly successful CDI program is based on a highly interactive process between physicians, CDIS staff and other support services.

The program does not challenge the provider’s medical judgement, but rather provides a methodology in which to clarify existing documentation. Acts as a liaison between the clinical and coding functions. Provides education to the medical staff and other clinical professional on documentation relevant to the Revenue Management processes and Discharge Not Final Billed reduction.

Provides daily interactions with physicians and clinical professionals regarding documentation clarification and optimization. It is expected that the CDIS have previous clinical skills, including an understanding of Anatomy and Physiology in order to appropriately discuss with the physician such issues as the underlying etiology, principal diagnosis, diagnostic studies, treatment modalities, to name a few. The essential focus of this position is to analyze the clinical information, using the documentation as the primary driver for overall System Case Mix Index.

• Reviews inpatient medical records within 24-48 hours of admission for a specified patient population toevaluate documentation to assign the principal diagnosis, relevant secondary diagnoses, and procedures for accurate DRG assignment, risk of mortality, severity of illness; and initiate documentation of the review.

• Pursues a subsequent review of records every 3 days to support and assign a working DRG assignment upon discharge.

• Formulates queries when it is determined there is missing documentation, conflicting documentation or unclear documentation.

• Provides on-going education to physicians and essential healthcare providers regarding clinical documentation improvement and the need for accurate and complete documentation in the patient's record.

• Collaborates with nursing staff, nutrition, pharmacist, along with the physicians on documentation and to resolve queries prior to the patient's discharge.

• Consistently meets established productivity targets for record review.

• Identifies strategies for sustained work process changes that facilitate complete, accurate clinical documentation.

• Participates in the analysis and trending of statistical data for specified patient population; identifies opportunity for improvement.

• Promotes a partnership with the inpatient coding professionals to ensure the accuracy of principal diagnosis, procedures and completeness of supporting documentation to determine the working and final DRG, severity of illness and risk of mortality.

• Acts as a resource person for the interdisciplinary team in order to promote collaboration and coordination of patient care considering age specific, developmental, cultural, and spiritual needs of the patient.

Work is typically performed in a clinical environment. Accountable for satisfying all job specific obligations and complying with all organization policies and procedures. The specific statements in this profile are not intended to be all-inclusive. They represent typical elements considered necessary to successfully perform the job. Additional competencies and skills outlined in any department-specific orientation will be considered essential to the performance of the job related to that position.

Responsibilities

Education

Graduate from Specialty Training Program-Nursing (Required), Bachelor's Degree-Nursing (Preferred)

Experience

Minimum of 3 years-Nursing (Required)

Certification(s) and License(s)

Licensed Registered Nurse (Pennsylvania) - RN_State of Pennsylvania

Skills

Communication; Multitasking; Medical Records Systems