Clinical Documentation Integrity Analyst

🔥 0 minutes ago

🏈 Ohio – Remote

🏈 Ohio – Remote

⏰ Full Time

🟡 Mid-level

🟠 Senior

🏥📝 Medical Writer

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University Hospitals

WebsiteLinkedInAll Job Openings

10,000+ employees

🏥 Healthcare

📚 Education

💰 $2M Grant on 2021-07

Healthcare • Medical Services • Education

University Hospitals is a leading healthcare provider that offers a wide range of medical services, including primary care, specialty care, and urgent care. With a focus on patient-centered care, UH also engages in medical education and research, ensuring high-quality treatment and innovative healthcare solutions. The institution is recognized nationally for its excellence in various medical specialties, providing accessible healthcare to the community and beyond.

📋 Description

• Educate and train CDI Specialists on essential role duties, coding rules, and clinical documentation integrity • Train newly hired CDI Specialists and provide ongoing coaching and education • Ensure Clinical Documentation Integrity staff work is accurate and compliant • Collaborate with CDI leadership and Coding teams on training and education opportunities • Perform post-discharge, final-coded, pre-bill second-level reviews to capture patient acuity, severity of illness, risk of mortality, and DRG assignment • Document second-level review findings in the CDI application • Place physician queries and follow up on responses when documentation opportunities are identified • Coordinate with coders and Coding Leadership on coding opportunities • Serve as a role model, subject matter expert, and resource for CDI team members • Respond to CDS requests for concurrent chart reviews on challenging cases • Perform concurrent second-level reviews and provide feedback to assigned CDI Specialists • Maintain summaries of opportunities for CDI team feedback and education • Compile trends and opportunities with reviewers, CDI Leads, and CDI Educator; conduct individual and group education • Review and recommend updates to second-level review criteria • Perform targeted audits and participate in quality initiatives including HAC/PSI and US News/Mortality • Collaborate on query template optimization • Identify workflow improvement opportunities and support change management • Advance CDI practice throughout the UH enterprise and participate in committees • Perform other duties as assigned and comply with policies, standards, and PHI requirements

🎯 Requirements

• Diploma in Nursing or Health Information Management, or Associate's/Bachelor's degree preferably in Health Information Management or Nursing, or Doctorate Degree in Medicine • 3+ years CDI experience as a concurrent reviewer • Extensive clinical knowledge and understanding of pathology/physiology, demonstrated by clinical experience in a hospital setting • Strong critical thinking skills and ability to review medical records for undocumented information supported by clinical indicators or clues • Comprehension of Case Mix Index (CMI); ability to interpret, analyze, and evaluate data and develop strategies to optimize CMI • Knowledge of age-specific patient needs, disease processes, and related procedures • Excellent written and verbal communication skills, including concise and effective communication with providers • Assertive personality traits to facilitate ongoing physician communication • Working knowledge of inpatient admission criteria • Ability to work independently in a time-oriented environment and as part of a team, primarily in a virtual setting • Maintains professional knowledge through relevant reading and webinars • Earns and maintains Certification for Clinical Documentation Improvement • Incorporates current literature, research, and best practices from ACDIS and AHIMA • Up-to-date clinical and coding experience, including pathology, pharmacology, and surgical procedures • Detail-oriented, organized, and strong time-management, analytical, and problem-solving skills • Client service, communication, presentation, and relationship-building skills • Required upon hire: RN Ohio and/or Multi-State Compact license, or RHIA, or RHIT • Required upon hire: CCDS or CDIP certification • International medical doctor education and experience may meet qualifications in lieu of RN, RHIA, or RHIT

🏖️ Benefits

• $5,000 sign-on bonus