Population Health Coding & Documentation Integrity (CDI) Nurse Specialist/Auditor

Use your clinical expertise to improve how we understand and care for patient populations.

Pennant Services is seeking an experienced Registered Nurse to join our Population Health team as a Population Health Coding & Documentation Integrity Nurse Specialist/Auditor.

This is a unique opportunity for a clinically experienced nurse who enjoys digging into the medical record, understanding the full picture of a patient's health, collaborating with providers, and using data and clinical documentation to improve population health. This isn't a traditional bedside nursing role, and it isn't simply a medical coding position.

Instead, you'll bring the two worlds together. You'll use your nursing knowledge and clinical judgment to review medical records, identify documentation opportunities, support accurate ICD-10-CM and risk-adjustment practices, audit documentation and coding, and help physicians and advanced practice providers accurately capture the complexity of the patients they care for.

What You'll Do

• Review patient medical records to determine whether documentation accurately and completely reflects the patient's health status and chronic disease burden.
• Conduct prospective and retrospective clinical documentation and coding reviews.
• Identify documentation gaps, specificity opportunities, and conditions that may require provider clarification.
• Review ICD-10-CM diagnoses and supporting clinical documentation for accuracy and completeness.
• Support HCC and other applicable risk-adjustment documentation initiatives.
• Perform focused documentation and coding audits and summarize findings.
• Identify trends across providers and patient populations.
• Partner directly 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 practical provider education, tip sheets, and documentation resources.
• Research coding, documentation, CMS, and regulatory guidance when questions arise.
• Help improve workflows that make accurate clinical documentation easier for providers.
• Support quality, compliance, and value-based care initiatives across Pennant.

What We're Looking For

You may be a great fit if you're an RN who enjoys the analytical side of healthcare and has a passion for getting the clinical story right.

Required

• 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

We'd Especially Like to Meet You If You Have

• Clinical Documentation Integrity/Improvement (CDI) experience
• Population health or value-based care experience
• Medicare Advantage or risk-adjustment experience
• Experience with CMS-HCC documentation and coding
• Coding or clinical documentation auditing experience
• Provider education experience
• Experience with prospective and retrospective chart review
• Experience caring for medically complex or chronically ill populations
• A BSN
• CPC, CRC, CDIP, CCDS, or another relevant documentation/coding credential

We're looking for someone who is:

• Clinically curious. You want to understand the patient's entire clinical picture, not simply what's listed on the problem list.
• Detail-oriented. You notice when documentation doesn't fully tell the clinical story.
• Analytical. You enjoy investigating a record, connecting information from different sources, and identifying patterns.
• A strong communicator. You can explain complex documentation and coding concepts to busy clinicians in a way that is practical and useful.
• Comfortable educating providers. You can have thoughtful, credible conversations with physicians and advanced practice providers while maintaining a collaborative approach.
• Compliance-minded. You understand that the goal is accurate, clinically supported documentation, not simply more diagnoses or higher reimbursement.
• Improvement-focused. You don't just identify a problem. You look for the underlying trend and help develop a better process.

Work Location

• This is a full-time, 40-hour-per-week hybrid position based in Utah.
• You'll work onsite at our Draper, Utah office at least one day each week, with the remaining scheduled days generally worked remotely.
• Additional in-person work and periodic travel will be required based on business needs, including provider education, meetings, audits, training, and collaboration with Pennant teams and affiliated operations.

Why This Role Matters

• Great population health starts with understanding the patient accurately.
• The documentation in the medical record informs how an organization understands disease burden, identifies care opportunities, measures outcomes, manages populations, and succeeds in value-based care.
• In this position, your clinical expertise helps make sure that story is accurate.
• You'll help connect what is happening clinically with what is documented in the record, while giving providers practical support that improves documentation quality and helps Pennant better understand and serve its patient populations.

The hourly range for this position is $38.00-$53.00 per hour. Actual hourly rate is dependent upon experience.

Why Join Us?  

Something else that sets us apart from other companies is the quality of our most valuable resources – our people! We are dedicated to living out our culture as defined by our core values, “CAPLICO”: 

• Customer Second – We prioritize and support our team so they can deliver exceptional care. 

• Accountability – Own your work and outcomes. 

• Passion for Learning – Grow continuously with curiosity and culture. 

• Love One Another – Build authentic, respectful, and trusting relationships. 

• Intelligent Risk Taking – Innovate and challenge the status quo. 

• Celebrate – Recognize the small wins, they add up! 

• Ownership – Be the CEO of your role. 

Additional Benefits: 

• True Work-Life balance – We believe in taking care of yourself before you take care of others! 

• Full benefits package (medical, dental, vision, 401(k) with match) 

• Paid time off, holiday pay, and professional development 

• Your voice matters! - Work with other passionate and high-achieving leaders who care deeply about patient outcomes and team success.  

About Pennant Services 

We support over 250 home health, hospice, senior living, and home care operations across 19 states. Our Service Center model empowers local leadership while providing centralized clinical, legal, HR, IT, and compliance support to help ensure high-quality care. 

www.pennantgroup.com 

The employer for this position is stated in the job posting.  The Pennant Group, Inc. is a holding company of independent operating subsidiaries that provide healthcare services through home health and hospice agencies and senior living communities located throughout the US.  Each of these businesses is operated by a separate, independent operating subsidiary that has its own management, employees and assets.  More information about The Pennant Group, Inc. is available athttp://www.pennantgroup.com.