Penn State Milton S. Hershey Medical Center Jobs

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Penn State Health Lead - Clinical Documentation Improvement in Hershey, Pennsylvania

Penn State Health - Milton S. Hershey Medical Center

Location : US:PA:Hershey

Work Type : Full Time

FTE : 1.00

Shift : Day

Hours : 8:00a - 4:00p


Following established policies, procedures and professional guidelines coordinates the prioritization and oversees the day-to-day workflow of the Clinical Documentation Integrity (CDI) staff and provides Clinical Documentation Integrity expertise. This position is an experienced CDI Specialist who works in partnership with the CDI Director, CDI educator and Physician Advisor(s) to ensure high quality and production standards are met. This will be accomplished through data evaluation, direct observation and review of medical records, and daily staff communication. This position is responsible to maintain concurrent and retrospective review expertise to ensure accuracy, specificity, and severity are captured consistently by all reviewers. This position will also resolve CDI-Coder DRG discrepancies working in collaboration with the coding department. This position will also participate in various projects and initiatives within the CDI Department. Participates in the education and onboarding process of all new hires. Performs duties and conducts interpersonal relationships in a manner promoting a team approach and collaborative work environment with physicians, CDI staff and coders.


Bachelor Degree or equivalent experience (4 years)

Currently licensed to practice as a Registered Nurse by state of employment or holds a multistate RN license through the interstate Nurse Licensure Compact. CCDS, CDIP or CCS required

Minimum two (2) years of experience in acute care required.

Minimum two (2) years of experience as a CDI specialist required.

Minimum two (2) years of ICD-10-CM/PCS coding experience required


Training and development background with previous experience with educational platform development and presentation preferred.

Previous supervisory experience preferred.

Master's degree in Nursing preferred.

CCS preferred

This job description is a general outline of duties performed and is not to be misconstrued as encompassing all duties performed within the position. All individuals (including current employees) selected for a position will undergo a background check appropriate for the position's responsibilities.

Penn State Health is fundamentally committed to the diversity of our faculty and staff. We believe diversity is unapologetically expressing itself through every person's perspectives and lived experiences. We are an equal opportunity and affirmative action employer. All qualified applicants will receive consideration for employment without regard to age, color, disability, gender identity or expression, marital status, national or ethnic origin, political affiliation, race, religion, sex (including pregnancy), sexual orientation, veteran status, and family medical or genetic information. If you are unable to use our online application process due to an impairment or disability, please call 717-531-8440 between the hours of 7:30 AM and 4:30 PM, Eastern Standard Time, Monday through Friday, email or download our Accommodation Instructions for Job Applicants PDF ( for more detailed steps for assistance.

Union : Non Bargained

Position Lead - Clinical Documentation Improvement

Location US:PA:Hershey | Registered Nurse | Full Time

Req ID null