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Lancaster General Health
Lancaster, PA, United States
23 days ago
The Valley Health System
Las Vegas, NV, United States
30 days ago
Steward Health Care
FL, United States
21 days ago
Lancaster General Health
Lancaster, Pennsylvania, United States
23 days ago


At Lancaster General Health, our culture is what sets us apart and creates a lasting impression of our health system in the community and in the hearts of our patients and their families. A role with us is more than just a job, we ask that you Live Your Legacy at LGH by finding your passion in your everyday role, committing to those you serve, and reaching for your personal best.

We are recognized as 1 of only 9 hospitals in the entire country with awards in Medicare.Gov, LEAPFROG and Healthgrades Americas 50 Best Hospitals. We have attained five year Magnet ® recognition status for the fifth time with the American Nurses’ Credentialing Center (ANCC) and we are the 2018 recipient of the Foster G. McGaw Prize in recognition of the commitment to community service.

PENN MEDICINE LANCASTER GENERAL HEALTH offers a comprehensive benefits package:

We believe that the best care for our patients starts with the best care for our employees. Our employee benefits programs help our employees get healthy and stay healthy. We offer a comprehensive compensation and benefits program so that our employees can stay actively engaged and committed to living their legacy every day. Together, we will continue to make medical advances that help people live longer, healthier lives.

Join us and be part of a team that empowers you to do more than your job and encourages you to:

Live Your Passion. Live Your Best. Live Your Commitment. Live Your Legacy.


Job Description

HOURS: Full Time (1.0 FTE; 40hrs/wk) Monday-Friday no weekends and no holidays. Work hours can be flexible after probationary period, with primarily working hours being between 6 AM and 5 PM. Remote work available.

POSITION SUMMARY: The Clinical Integration Specialist (CIS) is incorporated into the clinical team and is responsible for the documentation integrity of the medical record for accurate severity of illness. The CIS is responsible for improving the overall quality of the medical record, including accurate diagnoses, accurate capture and documentation of core measures, and prevention of patient safety indicators. The CIS communicates relevant findings to treating physicians, may perform direct patient evaluation when appropriate, and assists with determination of medical necessity.

ESSENTIAL FUNCTIONS: Qualified individuals must have the ability (with or without reasonable accommodation) to perform the following duties:

  • Initiates and performs concurrent documentation reviews of selected inpatient records to clarify conditions/diagnoses and procedures where inadequate or conflicting documentation exists. 
  • Facilitates documentation improvement methodology to support appropriate clinical coding for reimbursement and capture of the severity of patient diseases (case mix) treated at LGH.  In addition, ensures completeness of clinical information used for reporting physician and hospital outcomes.
  • Accurate and timely record review.
  • Recognize opportunities for documentation improvement.
  • Formulate clinically credible documentation clarifications.
  • Timely follow up on all cases especially those with clinical documentation clarifications.
  • Communicates with HIM staff and resolves discrepancies.
  • Interaction with physicians to facilitate complete and accurate documentation within the patient health record.  Serves as a resource for physicians to help link ICD-9-CM coding guidelines and medical terminology to improve accuracy of final code assignment.
  • Provides medical necessity review as appropriate.
  • Educates internal customers on clinical documentation opportunities.  Develops and conducts ongoing CDI education for new staff, coders, physicians, residents, nursing, and allied health professionals.  Develops education program materials including online materials, handouts, overheads, PowerPoint presentations, etc.
  • Participation in Task Force meetings.
  • Identifies opportunities for CDI operational improvements.
  • Utilizes CDI review worksheet and concurrent query as tools to capture improved clinical documentation.
  • Utilizes hospital information technology software to collect, track, and report outcomes and the effectiveness of the data.
  • Utilizes software as a resource in ensuring accurate documentation.  Tracks responses and trends completion of concurrent queries.
  • Monitors and evaluates effectiveness of concurrent coding outcomes at designated intervals.  Report concurrent coding outcomes to hospital departments and committees at designated intervals.  Communicates information effectively. 

SECONDARY FUNCTIONS: The following duties are considered secondary to the primary duties listed above:

  • Demonstrates responsibility for personal development by participating in continuing education offerings.  Maintains competence related to MS-DRG assignment, documentation requirements, and coding guidelines.
  • Maintains accurate records of review activities.
  • Other duties as assigned.

Benefits of Joining Penn Medicine Lancaster General Health:

PENN MEDICINE LANCASTER GENERAL HEALTH combines a Nationally Ranked Hospital with great schools, safe neighborhoods, affordable housing, local community events and festivals as well as a wealth of cultural and recreational activities. The scenic Susquehanna River Valley provides opportunities for fishing, skiing, kayaking, hiking and mountain biking in addition to easy access to NJ shoreline or Delaware beaches. Urban life is easily accessible, with New York, Baltimore, Philadelphia and Washington D.C. a train ride away. Local universities, Fulton Theatre, the downtown shopping and dining district and local sports teams make Lancaster a great place to Live, Work and Play.


PENN MEDICINE LANCASTER GENERAL HEALTH is an Equal Opportunity Employer, committed to hiring a diverse workforce. All openings will be filled based on qualifications without regard to race, color, sex, sexual orientation, gender identity, national origin, marital status, veteran status, disability, age, religion or any other classification protected by law.


Search Firm Representatives please read carefully: PENN MEDICINE LANCASTER GENERAL HEALTH is not seeking assistance or accepting unsolicited resumes from search firms for this employment opportunity. Regardless of past practice, all resumes submitted by search firms to any employee at PENN MEDICINE LANCASTER GENERAL HEALTH via-email, the Internet or directly to hiring managers at Penn Medicine Lancaster General Health in any form without a valid written search agreement in place for that position will be deemed the sole property of PENN MEDICINE LANCASTER GENERAL HEALTH, and no fee will be paid in the event the candidate is hired by PENN MEDICINE LANCASTER GENERAL HEALTH as a result of the referral or through other means.



  • Current licensure as a Registered Professional Nurse, issued by the PA State Board of Nursing
  • Bachelor of Science degree
  • Five (5) years experience in nursing or other clinical area.
  • Effective interpersonal skills in order to effectively interact with all levels of hospital personnel both verbal and written. 
  • Excellent organizational and prioritization skills.
  • Must have excellent analytical skills and be proficient with a computer and Microsoft Office programs.
  • Experience in a similar CDI capacity is preferred.
  • Coding experience is preferred.

Job Information

  • Job ID: 59010114
  • Location:
    Lancaster, Pennsylvania, United States
  • Position Title: Clinical Integration Improvement Specialist
  • Company Name: Lancaster General Health
  • Job Function: CDI/ Clinical Documentation Improvement
  • Job Type: Full-Time

Please refer to the company's website or job descriptions to learn more about them.

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