CDI Nurse Specialist - Clinical Documentation & Coding

Datavant; Concord (NH); On-site; USD 45,000 - 50,000; Full time

Job summary

Datavant is a healthcare data platform seeking a Clinical Documentation Quality Improvement (CDQI) Specialist to elevate medical record documentation. You will review inpatient records, collaborate with physicians, and influence DRG-based reimbursement through precise coding and education.

Required: 3+ years CDI and clinical nursing experience, RN license, CCDS/CDIP certification, and the ability to commit at least 15 hours per week.

Qualifications

• 3+ years of CDI experience and clinical background required.
• RN licensed with CCDS or CDIP certification preferred.
• Experience in an academic medical center highly desirable.
• Must be able to commit a minimum of 15 hours per week.

Responsibilities

• Conduct timely, accurate, and complete documentation reviews for selected inpatient records, addressing inadequate or conflicting documentation.
• Collaborate with physicians and caregivers to ensure appropriate reimbursement and clinical severity for DRG-based payer patients.
• Demonstrate understanding of complications, co-morbidities, severity of illness, risk of mortality, case mix index, secondary diagnoses, and procedure impact on DRG.
• Improve coding specificity by educating physicians and caregivers on the importance of clear documentation throughout a patient's stay.
• Follow AHA guidelines and coding clinics for accurate coding and required documentation to ensure compliance.
• Query physicians regarding missing, unclear, or conflicting health record documentation to obtain necessary details.
• Maintain daily production logs for evaluation, tracking cases reviewed, queries placed/responded, etc.
• Perform follow-up reviews to confirm recorded points of clarification in the patient's medical record.
• Ensure confidentiality of all files, documents, and records.
• Meet or exceed production and quality metrics.

Skills

CDI experience

RN license

Academic medical center experience

CDDS/CDIP certification

15 hours per week availability

Education

Bachelor of Science in Nursing (BSN) or higher

Job description

Datavant is a healthcare data platform seeking a Clinical Documentation Quality Improvement (CDQI) Specialist to elevate medical record documentation. You will review inpatient records, collaborate with physicians, and influence DRG-based reimbursement through precise coding and education.

Required: 3+ years CDI and clinical nursing experience, RN license, CCDS/CDIP certification, and the ability to commit at least 15 hours per week.