Population Health Coding & Documentation Integrity (CDI) Nurse Specialist/Auditor

Pennant Services•Utah, UT

7d•$38 - $53•Hybrid

About The Position

Pennant Services is seeking an experienced Registered Nurse to join our Population Health team as a Population Health Coding & Documentation Integrity Nurse Specialist/Auditor. This role brings together clinical expertise and medical coding to review medical records, identify documentation opportunities, support accurate ICD-10-CM and risk-adjustment practices, audit documentation and coding, and help providers accurately capture patient complexity. It is not a traditional bedside nursing role or a simple medical coding position.

Requirements

Active, unrestricted Registered Nurse license
Graduate of an accredited nursing program
At least 3 years of professional nursing experience
Strong clinical knowledge, including medical terminology, anatomy, physiology, pathophysiology, and chronic disease
Experience reviewing and interpreting medical records
Working knowledge of ICD-10-CM and clinical documentation principles
Strong critical-thinking and analytical skills
Exceptional attention to detail
Strong written and verbal communication skills
Comfort working directly with physicians and other clinicians
Ability to work independently while collaborating effectively in a multidisciplinary environment

Nice To Haves

Clinical Documentation Integrity/Improvement (CDI) experience
Population health or value-based care experience
Medicare Advantage or risk-adjustment experience
Experience with CMS-HCC documentation and coding
Coding or clinical documentation auditing experience
Provider education experience
Experience with prospective and retrospective chart review
Experience caring for medically complex or chronically ill populations
A BSN
CPC, CRC, CDIP, CCDS, or another relevant documentation/coding credential

Responsibilities

Review patient medical records to determine whether documentation accurately and completely reflects the patient's health status and chronic disease burden.
Conduct prospective and retrospective clinical documentation and coding reviews.
Identify documentation gaps, specificity opportunities, and conditions that may require provider clarification.
Review ICD-10-CM diagnoses and supporting clinical documentation for accuracy and completeness.
Support HCC and other applicable risk-adjustment documentation initiatives.
Perform focused documentation and coding audits and summarize findings.
Identify trends across providers and patient populations.
Partner directly with physicians, nurse practitioners, physician assistants, nurses, coders, and population health team members.
Educate providers on clinical documentation, coding specificity, and risk-adjustment concepts.
Develop practical provider education, tip sheets, and documentation resources.
Research coding, documentation, CMS, and regulatory guidance when questions arise.
Help improve workflows that make accurate clinical documentation easier for providers.
Support quality, compliance, and value-based care initiatives across Pennant.