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Parkland Health · 12 hours ago

Health Information Management CDI Quality Analyst II

Dallas, TX

Full-time

Onsite

Senior Level

5+ years exp

Parkland Health is dedicated to providing quality healthcare and is seeking a Health Information Management CDI Quality Analyst II to support their Clinical Documentation Integrity team. The role involves serving as a primary contact for physician/provider staff, ensuring compliance with documentation standards, and leading continuous improvement initiatives in CDI practices.

CommunitiesHealth CareHospitalMedicalNon ProfitWellness

H1B Sponsor Likely

Responsibilities

Assists with leading continuous improvement in CDI development and deployment of standard policies and procedures, standardized queries, technologies and tools, and strategies targeted to improve the quality of documentation and overall quality and financial performance

Assists in providing oversight and monitoring of the CDI daily workflow - helps coach staff, facilitate and solve work problems

Performs second level reviews for the CDI staff for query analysis and and compliant query composition

Serves as the Subject Matter Expert (SME) for any topics related to provider documentation as well usage of the CDI software functionality

Participate in other coding quality/DRG/CDI projects as assigned

Analyzes the unassigned notifications and sends queries when needed

Performs final review of pending queries for accuracy and need for final escalation

Answers CDI staff questions regarding coding issues, DRG assignment as well as clinical and quality inquiries related to documentation

Serves as main point of contact and interacts with physician/provider staff in troubleshooting query issues and explaining the importance and impact of documentation integrity

Collaborates with HIM Informatics in performing test scenarios for CDI software upgrades/updates or new functionality

Serves as liaison with the Coding Quality Review team and participates and provides input in QMR sessions

Helps ensure that CDI staff adhere and comply with the professional practice standards as identified by the American Health Information Management Association (AHIMA)/Association of Clinical Documentation Integrity Specialists (ACDIS) Query Practice Brief as well any internal policies

Ensures that external Quality Audit recommendations are implemented through involvement in the day to day operations with the CDI staff

Identifies ways to improve work processes and improve customer satisfaction. Makes recommendations to supervisor, implements, and monitors results as appropriate in support of the overall goals of the department and Parkland

Stays abreast of the latest developments, advancements, and trends in the field by attending seminars/workshops, reading professional journals, actively participating in professional organizations, and/or maintaining certification or licensure. Integrates knowledge gained into current work practices

Maintains knowledge of applicable rules, regulations, policies, laws and guidelines that impact the area. Develops effective internal controls designed to promote adherence with applicable laws, accreditation agency requirements, and federal, state, and private health plans. Seeks advice and guidance as needed to ensure proper understanding

Qualification

Clinical Documentation IntegrityICD-10-CM/PCSCertified Clinical Documentation SpecialistClinical Document Improvement PractitionerCertified Coding SpecialistRegistered Health Information TechnologistMS Office proficiencyInterpersonal skillsProblem solving skillsCommunication skillsLeadership skills

Required

Must have a Bachelors Degree in Nursing from an accredited college or university OR a graduate of a Health Information Management program OR Medical School graduate with a Master's Degree in a Healthcare/Medical related field from an accredited university

Must have five years experience as a Clinical Documentation Integrity Specialist with two years of completing quality reviews and/or audits of CDI activities

Must have either a Certified Clinical Documentation Specialist (CCDS) certification OR Must have a Clinical Document Improvement Practitioner (CDIP) certification

For RNs: Must have a current RN license or valid temporary permit with the Texas board of Nursing; or valid compact RN license

For HIM Professionals: Must have one of the following current certifications: Certified Coding Specialist (CCS), Registered Health Administrator (RHIA), Registered Health Information Technologist (RHIT)

Must have strong clinical skills and be able to apply this knowledge in record review and analysis to identify opportunities for documentation clarification

Must have a strong working knowledge of ICD-10-CM/PCS, inpatient coding guidelines, MD-DRG concepts and the SOI/ROM impact on the Medicaid population (APR-DRG)

Must have a strong working knowledge of clinical quality measures as related to documentation, such as: HACs, PSIs, PPCs, SOI and ROM

Must have the knowledge and ability to interpret relevant guidelines and regulations and effectively apply in CDI practice and query composition

Must be able to employ effective problem solving skills to make appropriate recommendations for process improvement

Must be able to write detailed reports of findings and recommendations

Must demonstrate effective interpersonal and communication skills

Must demonstrate ability to utilize CDI software, navigate the EMR as well as demonstrate a working knowledge of MS Office applications (Word, Excel, PowerPoint, database, SharePoint)

Must demonstrate sufficient leadership skills to be able to provide guidance to staff when management is unavailable

Company

Parkland Health

Parkland Health first opened its doors in 1894 and is now one of the largest public hospital systems in the country.

Founded in 1894

Dallas, Texas, USA

10001+ employees

https://www.parklandhealth.org

H1B Sponsorship

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