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1–2 jobs· newest first

Registered Nurse (RN) – Expert Medical Examination ConsultantNew
The CKHobbie Group · Harrisburg, US
Hybrid · Contract
Senior Hospital Clinical Documentation Improvement Specialist
Capital Health (US) · Lawrenceville, US
$90K–$118KFull-time · Senior

+10K new in the last hour

Registered Nurse (RN) – Expert Medical Examination Consultant

The CKHobbie Group · Posted Nov 5, 2026

Harrisburg, Pennsylvania, United States
Hybrid
Contract

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Support program integrity and medical review initiatives as an Expert Medical Examination Consultant

Compensation

full-time, long-term contract role

Responsibilities

Perform detailed clinical and administrative reviews to ensure medical necessity, accuracy of care, and compliance with state and federal healthcare regulations
Conduct comprehensive medical record reviews, claim evaluations, and clinical assessments related to program integrity and medical examination activities
Evaluate documentation for medical necessity, appropriateness of care, coding accuracy, and regulatory compliance
Identify potential indicators of fraud, waste, abuse, or quality concerns
Analyze clinical data, utilization trends, and provider documentation

Skills

clinical review medical record review claim evaluation coding accuracy regulatory compliance fraud detection data analysis documentation analysis

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Senior Hospital Clinical Documentation Improvement Specialist

Capital Health (US) · Posted Nov 2, 2026

Lawrenceville, New Jersey, United States
Full-time · Senior
$90K–$118K per year
3+ years

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Responsible for optimizing the accuracy, completeness, and clinical integrity of provider documentation in an acute care setting.

Compensation

Pay Range: $90,480.00 - $118,227.20

Responsibilities

Optimizes provider documentation accuracy and completeness
Performs second-level reviews to improve coding accuracy and DRG optimization
Supports escalated documentation issues and mentors CDI team members
Collaborates with physicians, coding, and revenue cycle leadership to improve documentation impacting reimbursement, quality reporting, and patient outcomes
Assists in developing, delivering, and leading education programs

Requirements

RN required
BSN preferred
Certified Clinical Documentation Specialist (CCDS) preferred
Certified Documentation Integrity Practitioner (CDIP) preferred
Nice to have: Certified Clinical Documentation Specialist (CCDS)

Skills

clinical documentation improvement coding accuracy DRG optimization provider education

Windows-based software

encoding software

critical thinking

analytical skills

Benefits

Medical Plan
Prescription drug coverage & In-House Employee Pharmacy
Dental Plan
Vision Plan
Flexible Spending Account (FSA)

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