CDQI Nurse Specialist

🔥 11 hours ago

🇺🇸 United States – Remote

💵 $40 - $45 / hour

⏱ Part Time

🟡 Mid-level

🟠 Senior

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Datavant

WebsiteLinkedInAll Job Openings

201 - 500 employees

Founded 2017

🏥 Healthcare

💼 Consulting

⚕️ Healthcare Insurance

💰 $40M Series B on 2020-10

Healthcare • Consulting • Healthcare Insurance

Datavant is a company that provides a platform and network focused on making health data secure, accessible, and usable across the healthcare ecosystem. With a focus on data connectivity and interoperability, Datavant facilitates the movement of healthcare records across a vast network of organizations, including hospitals, clinics, health systems, and data partners. Their suite of products and solutions covers areas such as health data exchange, data transformation, and privacy compliance, serving various clients including health plans, healthcare providers, life sciences, and government organizations. Datavant's mission is to advance human health through improved data exchange and analytics.

📋 Description

• 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.

🎯 Requirements

• 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

🏖️ Benefits

• N/A