RN - Registered Nurse - Clinical Documentation Improvement Educator

Job Summary

We’re working to create a national model for improving health. Today, we’re focused on bringing 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.

• Work with CDI program leadership to plan, develop, and implement clinical documentation education programs for CDI specialists and providers.
• Develop a standard and comprehensive orientation and onboarding program for new members to the CDI team.
• Educate individuals and team members on the review functions within the CDI program in order to meet and maintain enterprise goals, regulatory compliance, quality initiatives, policy and procedures, and personnel management.
• Create annual education based on coding and CDI industry updates, documentation gaps and trends, and evidence‑based clinical care updates.
• Develop and promote collaborative processes and strong working relationships with physicians and other health care professionals to accomplish program goals and ensure exceptional documentation.
• Mentor, educate and train CDI staff to effectively and accurately onboard new staff to the CDI role.
• Monitor and evaluate reviews of select records for opportunity and accurate capture of patient acuity, severity of illness, risk of mortality, quality measure and metric support, and DRG assignment in compliance with industry rules and regulations.
• Provide feedback to the CDI team to ensure clinically credible, effective, and compliant practices.
• Track and analyze trends to ascertain where stronger education is needed for both providers and staff.
• When documentation opportunity is identified, provide feedback to CDIS and monitor to determine if learning occurred and if it’s a departmental trend.
• If provider opportunity is identified, collaborate with leadership and physician advisors.
• If coding opportunity is identified, coordinate with coder and/or Coding Manager to review and address opportunity.
• Collaborate with Second Level Reviewers to identify opportunity trends and develop relevant training and education.
• Conduct individual and large group educational sessions for all CDIS and/or providers.
• Identify areas of non‑specific documentation and improve documentation and query templates in support of clinical treatment protocols.
• Collaborate with CDI managers, director, and other clinicians to facilitate the ongoing relevance of department‑specific orientation content, educational materials, documentation tip sheets, and other training programs and resources.
• Maintain a summary of opportunities identified for feedback and education with the CDS team and review regularly with managers and director.

• A Bachelor’s Degree in Nursing (BSN) is strongly preferred.
• Minimum of six years of clinical experience.
• Certified Clinical Documentation Specialist (CDS) or Certified Clinical Documentation Improvement Practitioner (CDIP) – required and must be already completed at the time of application.
• Licensed Registered Nurse in Pennsylvania.

Bachelor’s Degree in Nursing (Required). Bachelor’s Degree in Dietetics (Preferred).

Work is typically performed in a clinical environment. The position is full‑time, 40 hours weekly; 8:00a.m.–4:30p.m., Monday through Friday. Accountable for satisfying all job‑specific obligations and complying with all organization policies and procedures.

We offer healthcare benefits for full‑time and part‑time positions from day one, including vision, dental and domestic partner coverage.

We are an affirmative action, equal opportunity employer and all qualified applicants will receive consideration for employment regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, disability or protected veteran status.