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

Location: Hybrid position based in Utah, with onsite work at the Draper office at least one day per week; additional in-person work and periodic travel may be required.

Salary: $38.00–$53.00 per hour, depending on experience.

Company

Healthcare services organization supporting home health, hospice, senior living, and home care operations across 19 states.

What you will do

• Review patient medical records and clinical documentation for accuracy, completeness, specificity, and representation of chronic disease burden.
• Conduct prospective and retrospective clinical documentation and coding reviews, including ICD-10-CM and risk-adjustment documentation.
• Perform focused audits, summarize findings, and identify trends across providers and patient populations.
• Collaborate with physicians, nurse practitioners, physician assistants, nurses, coders, and population health colleagues.
• Educate providers on documentation, coding specificity, and risk-adjustment concepts through practical resources and tip sheets.
• Research CMS and regulatory guidance and help improve documentation workflows, quality, compliance, and value-based care initiatives.

Requirements

• Active, unrestricted Registered Nurse license and graduation from an accredited nursing program.
• At least 3 years of professional nursing experience.
• Strong clinical knowledge of medical terminology, anatomy, physiology, pathophysiology, and chronic disease.
• Experience reviewing and interpreting medical records, with working knowledge of ICD-10-CM and clinical documentation principles.
• Strong critical-thinking, analytical, communication, and attention-to-detail skills.
• Ability to work independently and collaborate with physicians and other clinicians in a multidisciplinary environment.

Nice to have

• Clinical Documentation Integrity/Improvement, population health, value-based care, Medicare Advantage, or risk-adjustment experience.
• CMS-HCC documentation and coding, auditing, provider education, or prospective and retrospective chart review experience.
• Experience caring for medically complex or chronically ill populations.
• BSN or credentials such as CPC, CRC, CDIP, or CCDS.

Culture & Benefits

• Full-time schedule of 40 hours per week with a hybrid work arrangement.
• Medical, dental, and vision coverage, plus a 401(k) with company match.
• Paid time off, holiday pay, and professional development opportunities.
• Work-life balance and a culture centered on accountability, learning, collaboration, innovation, and ownership.