RN – Clinical Documentation Integrity Specialist

Carle Health

RN conducting clinical documentation integrity reviews to ensure accurate DRG assignments at Carle Health. Collaborating with healthcare professionals for documentation accuracy and compliance.

Posted 4/14/2026full-timeRemote • Illinois • 🇺🇸 United StatesMid-LevelSenior💰 $34 - $59 per hourWebsite

About the role

Key responsibilities & impact

Performs inpatient chart review to determine appropriate DRG assignment and assures appropriate documentation in the chart
Coordinates with physicians, nurses, ancillary staff, and the coders in Health Information Management
Documents findings within Carle CDI software
Assures documentation in the chart represents a true clinical picture of the patient diagnoses
Reviews denials for accurate and complete documentation and develops appeal letter when needed

Requirements

What you’ll need

Registered Health Information Administrator (RHIA) - American Health Information Management Association (AHIMA)
Licensed Registered Professional Nurse (RN) within 6 months - if licensed in another state - Illinois Department of Financial and Professional Regulation (IDFPR)
Associate's Degree: Related Field
Associate's Degree: Nursing
Clinical bedside experience
CDI experience

Benefits

Comp & perks

Comprehensive benefits package

ATS Keywords

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Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills & Tools

chart reviewDRG assignmentdocumentationclinical documentation improvement (CDI)appeal letter development

Soft Skills

coordinationcommunicationcollaboration

Certifications

Registered Health Information Administrator (RHIA)Licensed Registered Professional Nurse (RN)