RN – Registered Nurse | Clinical Documentation Improvement Specialist

Location: Remote

About the Role

Join Geisinger Wyoming Valley as a Clinical Documentation Improvement Specialist (CDIS), where you will play a vital role in improving physician documentation to ensure accurate medical records, proper coding, and optimized patient care classification. You’ll work closely with physicians and healthcare teams to clarify diagnoses, treatments, and procedures — directly impacting patient outcomes and hospital revenue.

This position is primarily on-site in Scranton, PA, with the potential for some remote work in the future.

What You’ll Do

• Review inpatient medical records within 24-48 hours of admission to evaluate documentation for accurate diagnosis and procedure coding.
• Perform follow-up reviews every 3 days to finalize diagnoses and DRG assignments before discharge.
• Identify missing, conflicting, or unclear documentation and formulate queries to clarify these with physicians.
• Educate medical staff on the importance of comprehensive and precise clinical documentation.
• Collaborate with interdisciplinary teams including nursing, pharmacy, and nutrition to resolve documentation queries.
• Maintain productivity targets and contribute to improving clinical documentation processes.
• Partner with coding professionals to ensure accurate patient record coding and case mix index.

What We’re Looking For

• Education:
  • Required: Graduate from an accredited Nursing Program (Associate Degree or Diploma)
  • Preferred: Bachelor of Science in Nursing (BSN)
• Experience:
  • Minimum 3 years of registered nursing experience, preferably in acute care settings
  • Strong clinical knowledge including anatomy, physiology, and medical terminology
• Licenses & Certifications:
  • Current Registered Nurse (RN) license in the State of Pennsylvania
• Skills:
  • Excellent communication and interpersonal skills
  • Ability to analyze complex clinical data and documentation
  • Strong multitasking and organizational abilities
  • Proficiency with medical record systems and documentation tools

Why Geisinger?

Geisinger is committed to caring for its employees as much as its patients. You’ll enjoy a competitive salary and a robust benefits package from day one, including:

• Medical, dental, and vision insurance
• Multiple healthcare plan options including FSAs and HSAs
• Company-paid life insurance and disability coverage
• 401(k) plan with company contributions
• Generous paid time off and tuition reimbursement up to $5,000/year
• Wellness programs, adoption and fertility assistance, parental leave, and more
• Employee Assistance Programs for legal, childcare, eldercare, and mental health support

About Geisinger

Geisinger is a nationally recognized health system known for innovation, quality care, and a collaborative workplace culture. We value diversity and inclusivity and welcome applicants from all backgrounds.

How to Apply

If you’re interested in this position, please register on our portal and submit your application through the link below:

👉 Register & Apply at TeezJobs.com