Clinical Documentation Improvement Specialist

Datavant; Jefferson City (MO); On-site; USD 55,000 - 62,000; Full time

Job summary

Datavant is seeking a Clinical Documentation Quality Improvement (CDQI) Specialist in the United States. You will elevate medical record documentation quality by evaluating records and engaging with physicians to ensure accurate DRG-based coding and reimbursement.

Ideal candidates have 3+ years CDI experience, 3+ years clinical experience in an academic medical center, and are licensed RNs with a BSN. CCDS/CDIP certification is required, with competency assessments.

Qualifications

• CDI experience within a hospital or academic medical center preferred.
• Familiarity with DRG-based reimbursement and payer requirements.
• Ability to educate physicians on documentation importance.

Responsibilities

• Conduct timely, accurate documentation reviews for inpatient records.
• Collaborate with physicians to ensure appropriate reimbursement and clinical severity.
• Demonstrate understanding of complications, comorbidities, severity of illness, risk of mortality, case mix index, and procedure impact on DRG.
• Improve coding specificity by educating physicians on documentation.
• Follow AHA guidelines and coding clinics for accurate coding and documentation.
• Query physicians for missing or unclear documentation to obtain necessary details.
• Maintain daily production logs of reviewed cases and queries.
• 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

DRG knowledge

Medical documentation

Query physicians

Regulatory compliance

Education

Registered Nurse license

Bachelor's degree in Nursing

Job description

Datavant is seeking a Clinical Documentation Quality Improvement (CDQI) Specialist in the United States. You will elevate medical record documentation quality by evaluating records and engaging with physicians to ensure accurate DRG-based coding and reimbursement.

Ideal candidates have 3+ years CDI experience, 3+ years clinical experience in an academic medical center, and are licensed RNs with a BSN. CCDS/CDIP certification is required, with competency assessments.