Clinical Documentation Integrity Analyst (Remote)

Freddie Mac; Shaker Heights (OH); Remote; USD 60,000 - 90,000; Full time

Job summary

A leading healthcare organization is seeking a Clinical Documentation Integrity specialist to enhance documentation accuracy and support quality improvement initiatives. This role involves conducting thorough audits of patient records and collaborating closely with clinical teams. The ideal candidate will possess extensive clinical knowledge, critical analytical skills, and a background in healthcare documentation practices. If you are passionate about improving patient care through quality documentation, this opportunity is for you. Comprehensive training and opportunities for professional growth are provided.

Benefits

Comprehensive training

Career advancement opportunities

Dynamic team collaboration

Ongoing education for skill enhancement

Qualifications

• Minimum of 3 years of CDI experience as a concurrent reviewer.
• Certification for Clinical Documentation Improvement (CCDS or CDIP) required.
• Extensive clinical knowledge and understanding of pathology/physiology.

Responsibilities

• Conduct post-discharge audits and reviews of patient records for accuracy.
• Serve as a subject matter expert for the Clinical Documentation Integrity team.
• Participate in quality initiatives to optimize documentation practices.

Skills

Critical thinking

Analytical skills

Communication skills

Detail-oriented

Education

Diploma in Nursing

Health Information Management Degree

Bachelor's Degree

Doctorate Degree in related fields

Job description

Employer Industry: Healthcare Services

Why consider this job opportunity:
- Competitive salary based on experience
- Opportunity for career advancement and professional growth within the organization
- Collaborate with a dynamic team dedicated to improving clinical documentation integrity
- Engage in quality and process improvement initiatives that impact patient care
- Comprehensive training and ongoing education provided for continuous skill enhancement
- Contribute to meaningful change in healthcare documentation practices

What to Expect (Job Responsibilities):
- Conduct post-discharge, final coded, pre-bill reviews of targeted records to ensure accurate reporting of patient acuity and DRG assignment
- Serve as a subject matter expert and resource for the Clinical Documentation Integrity (CDI) team
- Maintain summaries of identified opportunities for feedback and education with the CDI team
- Participate in quality initiatives and collaborate with CDI Leadership to optimize documentation practices
- Perform targeted audits and engage in change management processes to support the CDI team

What is Required (Qualifications):
- Minimum of 3 years of CDI experience as a concurrent reviewer
- Education: Diploma in Nursing or Health Information Management, Associate's, Bachelor's, or Doctorate Degree in related fields
- Extensive clinical knowledge and understanding of pathology/physiology
- Strong critical thinking skills and the ability to analyze medical records for documentation improvement
- Certification for Clinical Documentation Improvement (CCDS) or Clinical Documentation Improvement Practitioner (CDIP) required

How to Stand Out (Preferred Qualifications):
- Experience in a hospital setting with a strong understanding of Case Mix Index (CMI)
- Excellent written and verbal communication skills with an assertive personality
- Knowledge of inpatient admission criteria and ability to work independently within a virtual environment
- Demonstrated ability to incorporate current literature and best practices into daily work
- Detail-oriented with strong analytical and problem-solving skills

#HealthcareServices #ClinicalDocumentation #CareerOpportunity #QualityImprovement #ProfessionalDevelopment

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