CDQI Nurse Specialist

🔥 19 hours ago

🇺🇸 United States – Remote

💵 $45 - $50 / hour

⏱ Part Time

🟡 Mid-level

🟠 Senior

🦅 H1B Visa Sponsor

This company has sponsored H1B visas in the past.

👻 Ghost score 5%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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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 • Apply understanding of complications, co-morbidities, severity of illness, risk of mortality, case mix index, secondary diagnoses, and procedure impact on DRG • Educate physicians and caregivers on clear documentation to improve coding specificity • Follow AHA guidelines and coding clinics for accurate coding and required documentation compliance • Query physicians regarding missing, unclear, or conflicting health record documentation • Maintain daily production logs tracking cases reviewed and queries placed/responded to • Perform follow-up reviews to confirm points of clarification in patient medical records • Ensure confidentiality of 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 minimum of 15 hours per week • This job is not eligible for employment sponsorship

🏖️ Benefits

• Equal Employment Opportunity employer • Post-offer health screenings and vaccinations such as flu shot, Tdap, and COVID-19, as required by clients • Reasonable accommodations for individuals with physical and mental disabilities • Voluntary anonymous demographic questions that do not affect the application or hiring process