Clinical Documentation Integrity Registered Nurse, RN

Tenet Healthcare

Clinical Documentation Integrity Registered Nurse responsible for reviewing medical records for accuracy and compliance. Working remotely for Conifer Health to improve clinical documentation and support patient care.

Posted 5/19/2026full-timeRemote • 🇺🇸 United StatesMid-LevelSenior💰 $72,508 - $108,763 per yearWebsite

About the role

Key responsibilities & impact

Responsible for reviewing medical records to facilitate and obtain appropriate physician documentation for any clinical conditions or procedures to support the appropriate severity of illness, expected risk of mortality, and complexity of care of the patient
Completes initial medical records reviews of patient records within 24-48 hours of admission for a specified patient population
Conducts follow-up reviews of patients every 24-48 hours or as needed up through discharge
Formulate physician queries regarding missing, unclear, or conflicting health record documentation
Collaborates with providers, case managers, nursing staff and other ancillary staff regarding documentation
Communicates/Completes Clinical Documentation Integrity (CDI) activities and coding issues
Assists with Provider education, rounding and communication regarding open queries for resolution
Stays current with AHA Official Coding and Reporting Guidelines, CMS and other agency directives for ICD10-CM and PCS coding
Attends CDI Boot camp, CDI/coding trainings annually and quarterly

Requirements

What you’ll need

Preferred: Acute Care nursing and/or Provider relevant experience
Zero (0) to two (2) years CDI experience
Two (2) plus years’ nursing experience – Medical/Surgical/Intensive Care and/or Case/Utilization Review
Two (2) plus years’ Provider experience – Medical/Surgical/Intensive Care and/or Case/Utilization Review
Graduate from a Nursing program, BSN, or graduate program; OR
Graduate from Medical Doctor and/or Foreign Medical Doctor Program
Active state Registered Nurse license; OR
Graduate MD and/or FMD license
Preferred: CDIP or CCDS

Benefits

Comp & perks

Medical, dental, vision, disability, life, and business travel insurance
Paid time off (vacation & sick leave) – min of 12 days per year, accrued accrue at a rate of approximately 1.84 hours per 40 hours worked.
401k with up to 6% employer match
10 paid holidays per year
Health savings accounts, healthcare & dependent flexible spending accounts
Employee Assistance program, Employee discount program
Voluntary benefits include pet insurance, legal insurance, accident and critical illness insurance, long term care, elder & childcare, AD&D, auto & home insurance.
For Colorado employees, Conifer offers paid leave in accordance with Colorado’s Healthy Families and Workplaces Act.

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills & Tools

clinical documentation integrityICD10-CM codingPCS codingmedical record reviewphysician queriesdocumentation analysiscoding guidelinespatient care complexityseverity of illness assessmentrisk of mortality assessment

Soft Skills

collaborationcommunicationprovider educationproblem-solvinginterpersonal skillsorganizational skillsattention to detailcritical thinkingtime managementteamwork

Certifications

CDIPCCDSRegistered Nurse license