Clinical Documentation Specialist — CDI Excellence

Penn State Health; Hershey (PA); Hybrid; USD 75,000 - 110,000; Full time

Benefits offered by this job

Tuition discount

Total Rewards Program

Be Well wellness programs

Job summary

Penn State Health in Hershey, PA is seeking a Clinical Documentation Specialist to improve the quality, completeness and accuracy of clinical record documentation. You will obtain appropriate documentation through interaction with physicians, nursing staff, other patient caregivers, and coding staff to ensure documentation reflects the level of service rendered to patients.

The role emphasizes collaboration across clinical teams, coding accuracy, and compliance while supporting high-quality

Qualifications

• RN licensure in Pennsylvania is required.
• Five years of experience in acute hospital clinical settings and/or insurance is required.
• Certification preferred.

Responsibilities

• Facilitate the improvement in the overall quality, completeness and accuracy of clinical record documentation.
• Interact with physicians, nursing staff, other patient caregivers, and coding staff to ensure documentation reflects the level of service rendered.

Skills

RN licensure

Acute hospital clinical experience

Education

RN licensure in Pennsylvania

Tools

Certification (preferred)

Job description

Penn State Health in Hershey, PA is seeking a Clinical Documentation Specialist to improve the quality, completeness and accuracy of clinical record documentation. You will obtain appropriate documentation through interaction with physicians, nursing staff, other patient caregivers, and coding staff to ensure documentation reflects the level of service rendered to patients.

The role emphasizes collaboration across clinical teams, coding accuracy, and compliance while supporting high-quality