Apply on Employer Site

Datavant · 2 months ago

CDQI Nurse Specialist - Part Time - Remote

United States

Full-time, Part-time

Remote

Mid, Senior Level

$40/hr - $47/hr

3+ years exp

Datavant is a data platform company and the world’s leader in health data exchange. As a Clinical Documentation Quality Improvement (CDQI) Specialist, you will enhance medical record documentation by conducting evaluations and collaborating with healthcare providers to ensure clarity and completeness. This role is crucial for improving coding specificity and the overall quality of patient care.

BiopharmaClinical TrialsData IntegrationHealth CareSoftware

No H1B

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

Qualification

CDI experienceClinical experienceRegistered Nurse licenseCCDS certificationCDIP certificationCommunication skillsAttention to detailTeam collaboration