Clinical Documentation Quality Specialist

Datavant2; United States; 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 evaluate inpatient records, engage with providers to improve clarity, and influence DRG-based payer accuracy.

You will work with physicians to ensure appropriate reimbursement and coding accuracy while adhering to AHA guidelines and maintaining strict confidentiality. The role requires 3+ years CDI experience, 3+ years clinical nursing in an academic

Qualifications

• 3+ years of CDI experience.
• 3+ years of clinical nursing in an academic medical center.
• Registered Nurse licensed in the applicable state.
• CCDS or CDIP certification required.
• Must pass a CDI skills competency assessment.

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, and DRG impact.
• Improve coding specificity by educating physicians on documentation.
• Follow AHA guidelines and coding clinics for accurate coding and required documentation.
• Query physicians regarding missing or unclear documentation to obtain necessary details.
• Maintain daily production logs for cases reviewed and queries placed/responded to.
• Perform follow-up reviews to confirm clarifications in the medical record.
• Ensure confidentiality of all files and records.
• Meet or exceed production and quality metrics.

Skills

CDI experience

Clinical nursing

RN license

Education

Bachelor's in Nursing

Job description

Datavant is seeking a Clinical Documentation Quality Improvement (CDQI) Specialist to elevate medical record documentation quality. You will evaluate inpatient records, engage with providers to improve clarity, and influence DRG-based payer accuracy.

You will work with physicians to ensure appropriate reimbursement and coding accuracy while adhering to AHA guidelines and maintaining strict confidentiality. The role requires 3+ years CDI experience, 3+ years clinical nursing in an academic