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The Ohio State University Wexner Medical Center

Lead Clinical Documentation Improvement Specialist (REMOTE)

The Ohio State University Wexner Medical Center, Frankfort, Kentucky, United States

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Lead Clinical Documentation Improvement Specialist (REMOTE)

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Lead Clinical Documentation Improvement Specialist (REMOTE)

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The Ohio State University Wexner Medical Center The Clinical Documentation Improvement Analyst 4 (CDI Analyst 4) is responsible for performing concurrent and retrospective 1st line and 2nd level reviews to identify opportunities for improving the quality of medical record documentation. The CDI Analyst 4 completes audits to assess query compliance, coding accuracy, and provider education opportunities. The CDI Analyst 4 develops and provides education to ensure competency and compliance, and functions as a liaison between the CDI department, coding, quality, compliance, clinical providers and organizational leadership. Position Summary The CDI Analyst 4 supports initiatives to improve healthcare provider documentation integrity to ensure accurate medical coding within the Ohio State University Health System. The CDI Analyst 4 follows JCAHO, CMS, third party payor documentation guidelines, and the official guidelines for assigning ICD-10 working diagnosis and procedure codes in efforts to continually improve the quality of medical record documentation. Minimum Qualifications

Bachelor’s degree in nursing. Registered Nurse. 6 years of relevant experience required. 6-10 years of relevant experience preferred. Active RN license CCDS (Certified Clinical Documentation Specialist or CDIP (Certified Documentation Improvement Practitioner) certification Knowledge and experience in medical information, computer applications, coding applications, work processing, and electronic spreadsheets Ongoing

Maintain RN licensure in good standing Maintain CCDS or CDIP certification in good standing Experience in Clinical Documentation Integrity Auditing/Education Proficiency in ICD-10-CM/PCS coding and AHA Coding Clinic Excellent communication and team collaboration skills Ability to work independently and manage multiple tasks effectively Familiarity with payer compliance and quality metrics Active involvement in quality assurance and process improvement initiatives Ensuring compliance with all relevant healthcare regulations and standards The university is an equal opportunity employer, including veterans and disability. Final candidates are subject to successful completion of a background check. A drug screen or physical may be required during the post offer process.

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