Clinical Documentation Quality Improvement Nurse Specialist

Datavant; Topeka (KS); 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. You will review inpatient records, query providers, and educate clinicians on documentation best practices to improve DRG accuracy and reimbursement.

Join a collaborative, data-driven environment where CDI expertise and nursing background help ensure patient care quality and accurate coding across the care continuum.

Qualifications

• 3+ years of CDI experience.
• 3+ years of clinical experience in an academic medical center.
• RN license and Bachelor's degree in Nursing.
• CCDS or CDIP certification required.
• Must pass a CDI skills competency assessment.

Responsibilities

• Conduct timely, accurate and complete documentation reviews for selected inpatient records.
• 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

Education

Bachelor's degree in Nursing

Job description

Datavant is seeking a Clinical Documentation Quality Improvement (CDQI) Specialist to elevate medical record documentation quality. You will review inpatient records, query providers, and educate clinicians on documentation best practices to improve DRG accuracy and reimbursement.

Join a collaborative, data-driven environment where CDI expertise and nursing background help ensure patient care quality and accurate coding across the care continuum.