CDQI Nurse Specialist

Datavant Corporation; Northern (KY); Hybrid; USD 45,000 - 50,000; Part time

Benefits offered by this job

Remote work

Job summary

Datavant Corporation is seeking a part-time Clinical Documentation Quality Improvement (CDQI) Nurse Specialist to remotely support the United States. You will review inpatient records, query physicians, and collaborate to improve DRG accuracy and reimbursement.

Applicants should have 3+ years CDI and clinical nursing experience, an active RN license, and CCDS/CDIP certification, with 15+ hours weekly availability.

Qualifications

• 3+ years of CDI experience.
• 3+ years of clinical experience in an academic medical center.
• Registered Nurse license, Bachelor's degree in Nursing.
• CCDS or CDIP certification required.
• Must pass a CDI skills competency assessment.
• Must be able to accommodate a min of 15 hours per week.

Responsibilities

• Conduct timely, accurate documentation reviews for inpatient records.
• Collaborate with physicians to ensure appropriate reimbursement and clinical severity.
• Demonstrate understanding of conditions affecting DRG and case mix index.
• Educate physicians on documentation to improve coding specificity.
• Query physicians for missing or unclear documentation to obtain details.
• Maintain daily production logs and tracking of cases reviewed.
• Perform follow-up reviews to confirm clarifications in records.
• Ensure confidentiality of all files and records.
• Meet or exceed production and quality metrics.

Skills

CDI experience

Nursing experience

RN license

CDDS/CDIP certification

15 hours per week availability

Education

Bachelor's degree in Nursing

Job description

CDQI Nurse Specialist

8179 Remote - United States Part-time regular

Datavant is the data collaboration platform trusted for healthcare. Guided by our mission to make the world’s health data secure, accessible and actionable, we provide critical data solutions for organizations across the healthcare ecosystem – including providers, health plans, researchers, and life sciences companies. From fulfilling a single patient’s request for their medical records to powering the AI revolution in healthcare, Datavant is building the future of how data is connected and used to improve health.

By joining Datavant today, you’re stepping onto a driven and highly collaborative team that is passionate about creating transformative change in healthcare.

What We’re Looking For:

As a Clinical Documentation Quality Improvement (CDQI) Specialist, you will play a pivotal role in elevating the impact of our medical record documentation. You will conduct daily evaluations and engage in direct communication with providers to enhance documentation clarity, completeness, and overall medical record quality. By ensuring accurate and comprehensive physician documentation, you will be at the forefront of influencing the precision of code assignment, making a tangible difference in the accuracy of healthcare data. Join us in this critical role where your efforts will have a direct and meaningful impact on the quality and effectiveness of patient care.

What You Will Do:

• 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.

What You Need to Succeed:

• 3+ years of CDI experience
• 3+ years of clinical experience in an academic medical center
• Registered Nurse license, Bachelor's degree in Nursing
• CCDS or CDIP certification required
• Must pass a CDI skills competency assessment
• Must be able to accommodate a min of 15 hours per week

We are committed to building a diverse team of Datavanters who are all responsible for stewarding a high-performance culture in which all Datavanters belong and thrive. We are proud to be an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, sex, sexual orientation, gender identity, religion, national origin, disability, veteran status, or other legally protected status.

At Datavant our total rewards strategy powers a high-growth, high-performance, health technology company that rewards our employees for transforming health care through creating industry-defining data logistics products and services.

The range posted is for a given job title, which can include multiple levels. Individual rates for the same job title may differ based on their level, responsibilities, skills, and experience for a specific job.

The estimated total cash compensation range for this role is: $45 — $50 USD

To ensure the safety of patients and staff, many of our clients require post-offer health screenings and proof and/or completion of various vaccinations such as the flu shot, Tdap, COVID-19, etc. Any requests to be exempted from these requirements will be reviewed by Datavant Human Resources and determined on a case-by-case basis. Depending on the state in which you will be working, exemptions may be available on the basis of disability, medical contraindications to the vaccine or any of its components, pregnancy or pregnancy-related medical conditions, and/or religion.

This job is not eligible for employment sponsorship.

Datavant is committed to a work environment free from job discrimination. We are proud to be an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, sex, sexual orientation, gender identity, religion, national origin, disability, veteran status, or other legally protected status. To learn more about our commitment, please review our EEO Commitment Statement here. Know Your Rights, explore the resources available through the EEOC for more information regarding your legal rights and protections. In addition, Datavant does not and will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay.

Datavant is committed to working with and providing reasonable accommodations to individuals with physical and mental disabilities. If you need an accommodation while seeking employment, please request it here, by selecting the 'Interview Accommodation Request' category. You will need your requisition ID when submitting your request, you can find instructions for locating it here. Requests for reasonable accommodations will be reviewed on a case-by-case basis.

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