Ohio State University Wexner Medical Center
Lead Clinical Documentation Improvement Specialist (REMOTE)
Ohio State University Wexner Medical Center, Frankfort, Kentucky, United States
Scope of Position
The Clinical Documentation Improvement Analyst 4 (CDI Analyst 4) is responsible for performing concurrent and retrospective first line and second 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 This position 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. The CDI Analyst 4 works closely with CDI Manager to develop, present, and manage education curriculum for CDI onboarding, and continued education for CDI specialists, providers and physician advisors. The CDI Analyst 4 completes second level review for quality measures, clinical validation, and outcomes improvement. CDI Analyst 4 participates in interdisciplinary work groups as subject matter expert to achieve desired outcomes.
Minimum Qualifications For Hire:
Bachelors 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
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Position Summary This position 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. The CDI Analyst 4 works closely with CDI Manager to develop, present, and manage education curriculum for CDI onboarding, and continued education for CDI specialists, providers and physician advisors. The CDI Analyst 4 completes second level review for quality measures, clinical validation, and outcomes improvement. CDI Analyst 4 participates in interdisciplinary work groups as subject matter expert to achieve desired outcomes.
Minimum Qualifications For Hire:
Bachelors 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
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