Clinical Documentation Improvement Analyst

The Ohio State University; Columbus (OH); Remote; USD 70,000 - 90,000; Full time

Job summary

The Ohio State University is seeking a Clinical Documentation Improvement Analyst. This role focuses on improving documentation quality across the Health System, supporting accurate coding while adhering to healthcare standards. A Bachelor's Degree in Nursing and RN license are mandatory along with relevant clinical experience.

Qualifications

• 2-4 years of relevant experience preferred.
• Must adhere to ICD-10-CM coding standards.
• Support for accurate coding and quality measures.

Responsibilities

• Review inpatient medical records for documentation quality.
• Confer with caregivers to ensure complete records by discharge.
• Support initiatives to enhance documentation quality.

Skills

Documentation Quality Improvement

Clinical Review

Communication

Education

Bachelor's Degree in Nursing

Registered Nurse

Job description

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Job Title: Clinical Documentation Improvement Analyst

Department: Health System Shared Services | MIM CDI and Coding

Scope of Position

The Clinical Documentation Improvement Analyst is a nurse or other clinically qualified individual responsible for concurrent review of inpatient medical records to identify opportunities for improving documentation quality. This includes identifying cases where diagnoses and procedures are absent, not in appropriate terminology, or not properly recorded. The CDIS will confer with caregivers on necessary documentation to ensure complete records by patient discharge, reflecting diagnoses, treatments, and severity of illness, and supporting coding and DRG assignment.

Position Summary

This role supports initiatives to enhance documentation quality across the Ohio State University Health System, focusing on supporting accurate coding, improving quality measures, and increasing the Case Mix Index (CMI). The CDIS adheres to The Joint Commission, Medicare, third-party payer guidelines, and ICD-10-CM coding standards, assisting healthcare providers in documentation processes.

Minimum Required Qualifications

• Bachelor's Degree in Nursing
• Registered Nurse
• At least 2 years of relevant experience (2-4 years preferred)

Additional Information:

• Location: Remote
• Position Type: Regular
• Scheduled Hours: 40
• Shift: First Shift

Final candidates will undergo a background check; a drug screen or physical may be required post-offer.

Thank you for your interest in positions at The Ohio State University and Wexner Medical Center. Once applied, you can check your application status by visiting the Candidate Home. For further questions, review the frequently asked questions. The university is an equal opportunity employer, including veterans and individuals with disabilities.