Clinical Documentation Specialist - Clinical Document Improvement

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

Clinical Documentation Specialist - Clinical Document Improvement

Invest in Your Future and Theirs: Beginning January 1, 2027, eligible full-time Penn State Health employees receive a 50% Penn State tuition discount for themselves and eligible dependents, including a spouse and children. The discount applies at Penn State University Park, Commonwealth Campuses, World Campus, and Penn College of Technology.

Responsible to facilitate the improvement in the overall quality, completeness and accuracy of all clinical record documentation. Obtains appropriate clinical documentation through extensive interaction with physicians, nursing staff, other patient caregivers, and coding staff to ensure that documentation reflects the level of service rendered to patients is complete and accurate.

MINIMUM QUALIFICATION(S):

• RN Licensure in the state of Pennsylvania required
• Five (5) years experience in acute hospital clinical setting and/or insurance company required

PREFERRED QUALIFICATION(S):

• One (1) year in Clinical Documentation experience preferred.
• Certification preferred.

WHY PENN STATE HEALTH?

Penn State Health offers exceptional opportunities to learn and grow, exposure to a wide patient population, and the ability to provide individualized, innovative, and specialized care to patients in the community.

Penn State Health offers an exceptional benefits package including medical, dental and vision with no waiting period as well as a Total Rewards Program that highlights a few of the many additional offerings below:

• Be Well with Employee Wellness Programs, and Fitness Discounts (University Fitness Center, Peloton).
• Be Balanced with Generous Paid Time Off, Personal Time, and Paid Parental Leave.
• Be Secured with Retirement, Extended Illness Bank, Life Insurance, and Identity Theft Protection.
• Be Rewarded with Competitive Pay, Tuition Reimbursement, and PAWS UP employee recognition program.
• Be Supported by the HR Solution Center, Learning and Organizational Development and Virtual Benefits Orientation, Employee Exclusive Concierge Service for scheduling.

WHY PENN STATE HEALTH CORPORATION?

There are many ways to make an impact with one of the leading research, teaching, and clinical healthcare systems in the country. Through a combination of operational, corporate, clinical, and nonclinical roles, we are advancing excellence and innovation in health care together as one team. As Penn State Health continues to evolve for the future, we are committed to hiring dedicated employees who are passionate about delivering the best possible support across our entire integrated health system.

Within Penn State Health's Shared Services Entity, we encourage our employees at every turn to continue their education and advancement. Numerous opportunities are available for professional development and career growth.

YOU TAKE CARE OF THEM. WE'LL TAKE CARE OF YOU. State-of-the-art equipment, endless learning, and a culture of excellence – that's Penn State Health. But what makes our healthcare award-winning? That's all you.

This job posting is a general outline of duties performed and is not to be misconstrued as encompassing all duties performed within the position. Eligibility for shift differential pay based on the terms outlined in company policy or union contract. All individuals (including current employees) selected for a position will undergo a background check appropriate for the position's responsibilities.

Penn State Health is an Equal Opportunity Employerand does not discriminate on the basis of any protected class including disability or veteran status. Penn State Health's policies and objectives are in direct compliance with all federal and state constitutional provisions, laws, regulations, guidelines, and executive orders that prohibit or outlaw discrimination.

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