Clinical Documentation Quality (CDI) Nurse Specialist

Datavant; Honolulu (HI); On-site; USD 55,000 - 62,000; Full time

Job summary

Datavant is seeking a Clinical Documentation Quality Improvement (CDQI) Specialist to elevate medical record documentation quality across inpatient records. You will engage with physicians, review documentation for accuracy, and drive DRG-related coding precision to support appropriate reimbursement and patient care outcomes.

You will collaborate with care teams, follow coding guidelines, maintain production logs, and ensure confidentiality while meeting or exceeding throughput and quality

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, 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

Clinical experience

RN license

CCDS/CDIP certification

CDI skills competency assessment

15 hours per week availability

Education

Bachelor's degree in Nursing

Job description

Datavant is seeking a Clinical Documentation Quality Improvement (CDQI) Specialist to elevate medical record documentation quality across inpatient records. You will engage with physicians, review documentation for accuracy, and drive DRG-related coding precision to support appropriate reimbursement and patient care outcomes.

You will collaborate with care teams, follow coding guidelines, maintain production logs, and ensure confidentiality while meeting or exceeding throughput and quality