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Population Health Coding, Documentation Integrity Nurse Specialist/Auditor
Pennant. Review patient medical records to determine whether documentation accurately and completely reflects health status and chronic disease burden .
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in clinical documentation and coding, with a strong focus on ICD-10-CM accuracy and compliance. Capable of educating healthcare providers on documentation best practices and improving workflows to enhance patient care quality.
Highest-signal resume keywords
Registered Nurse LicenseICD-10-CM KnowledgeClinical Documentation ReviewCritical-Thinking SkillsAttention to Detail
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Clinical DocumentationCoding ReviewsMedical TerminologyAnatomyPhysiologyPathophysiologyChronic Disease ManagementDocumentation AuditsRisk-Adjustment ConceptsCMS Regulatory Guidance
Soft Skills
Analytical SkillsWritten CommunicationVerbal CommunicationCollaborationIndependence
Certifications & Qualifications
Registered Nurse License
Industry Keywords
Value-Based CareQuality InitiativesComplianceHealthcare DocumentationProvider Education
About the role
Key responsibilities & impact- Review patient medical records to determine whether documentation accurately and completely reflects health status and chronic disease burden
- Conduct prospective and retrospective clinical documentation and coding reviews
- Identify documentation gaps, specificity opportunities, and conditions requiring provider clarification
- Review ICD-10-CM diagnoses and supporting clinical documentation for accuracy and completeness
- Support HCC and other risk-adjustment documentation initiatives
- Perform documentation and coding audits and summarize findings
- Identify trends across providers and patient populations
- Partner with physicians, nurse practitioners, physician assistants, nurses, coders, and population health team members
- Educate providers on clinical documentation, coding specificity, and risk-adjustment concepts
- Develop provider education, tip sheets, and documentation resources
- Research coding, documentation, CMS, and regulatory guidance
- Improve workflows supporting accurate clinical documentation
- Support quality, compliance, and value-based care initiatives across Pennant
Requirements
What you’ll need- Active, unrestricted Registered Nurse license
- Graduate of an accredited nursing program
- At least 3 years of professional nursing experience
- Strong clinical knowledge, including medical terminology, anatomy, physiology, pathophysiology, and chronic disease
- Experience reviewing and interpreting medical records
- Working knowledge of ICD-10-CM and clinical documentation principles
- Strong critical-thinking and analytical skills
- Exceptional attention to detail
- Strong written and verbal communication skills
- Comfort working directly with physicians and other clinicians
- Ability to work independently while collaborating effectively in a multidisciplinary environment
Benefits
Comp & perks- Full benefits package (medical, dental, vision, 401(k) with match)
- Paid time off
- Holiday pay
- Professional development
- True Work-Life balance
- Collaboration with passionate and high-achieving leaders