CDQI Nurse Specialist jobs in United States
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Datavant · 9 hours ago

CDQI Nurse Specialist

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 conduct evaluations and engage with providers to enhance the quality of medical record documentation, ensuring accurate and comprehensive physician documentation to improve healthcare data accuracy.

BiopharmaClinical TrialsData IntegrationHealth CareSoftware
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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 skillsCollaboration skillsAttention to detail

Required

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

Preferred

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

Company

Datavant

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Datavant protects, connects, and delivers the world’s health data to power better decisions and advance human health.

Funding

Current Stage
Late Stage
Total Funding
$80.5M
Key Investors
Transformation Capital
2020-10-08Series B· $40M
2018-04-30Series Unknown· $40.5M

Leadership Team

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Jasmin Phua
Head of Government Solutions
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Company data provided by crunchbase