CDQI Nurse Specialist- PRN

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.
• Preferred: A candidate that can perform daily evaluations pertaining to the quality and accuracy of clinical documentation in medical records.
• What You Need to Succeed:
• 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
• Pay ranges for this job title may differ based on location, responsibilities, skills, experience, and other requirements of the role.
• The estimated base pay range per hour for this role is:
• $40 - $45 USD
• This job is not eligible for employment sponsorship.
• At the end of this application, you will find a set of voluntary demographic questions. If you choose to respond, your answers will be anonymous and will help us identify areas for improvement in our recruitment process. (We can only see aggregat

Requirements

• Preferred: A candidate that can perform daily evaluations pertaining to the quality and accuracy of clinical documentation in medical records.

Benefits

Additional Information

Datavant is the data collaboration platform trusted for healthcare. Guided by our mission to make the world's health data secure, accessible and actionable, we provide critical data solutions for organizations across the healthcare ecosystem - including providers, health plans, researchers, and life sciences companies. From fulfilling a single patient's request for their medical records to powering the AI revolution in healthcare, Datavanters are building the future of how data is connected and used to improve health. By joining Datavant today, you're stepping onto a driven and highly collaborative team that is passionate about creating transformative change in healthcare.

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