Remote CDQI Nurse Specialist (Part-Time)

Datavant Corporation; United States; Remote; USD 55,000 - 62,000; Part time

Benefits offered by this job

Comprehensive health, dental, and view

Paid time off (PTO) plan, offering X+1

Retirement savings plan

Flexible work arrangements

Opportunities for career growth and 개발

Employee wellness programs

Additional benefits based on location

Any unique or company-specific perks,

Job summary

Datavant is seeking a CDQI Nurse Specialist PRN to review inpatient records, engage with physicians, and improve documentation quality to support accurate DRG coding and reimbursement. This remote, part-time role requires 3+ years CDI and clinical experience in an academic medical center, an active RN license, and CCDS/CDIP certification.

You’ll maintain production logs, follow coding guidelines, and protect patient confidentiality.

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.
• 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

RN license

Academic medical center

Education

Bachelor's in Nursing

CCDS or CDIP certification

Job description

Datavant is seeking a CDQI Nurse Specialist PRN to review inpatient records, engage with physicians, and improve documentation quality to support accurate DRG coding and reimbursement. This remote, part-time role requires 3+ years CDI and clinical experience in an academic medical center, an active RN license, and CCDS/CDIP certification.

You’ll maintain production logs, follow coding guidelines, and protect patient confidentiality.