The Ohio State University
Lead Clinical Documentation Improvement Specialist (REMOTE)
The Ohio State University, Columbus, Ohio, United States, 43224
Job Title
Lead Clinical Documentation Improvement Specialist (REMOTE)
Department University Hospital | Care Management Services
Scope of Position The Clinical Documentation Improvement 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 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:
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
Additional Information Location: Remote Location
Position Type: Regular
Scheduled Hours: 40
Shift: First Shift
Final candidates are subject to successful completion of a background check. A drug screen or physical may be required during the post offer process.
The university is an equal opportunity employer, including veterans and disability.
As required by Ohio Revised Code section 3345.0216, Ohio State will: educate students by means of free, open and rigorous intellectual inquiry to seek the truth; equip students with the opportunity to develop intellectual skills to reach their own, informed conclusions; not require, favor, disfavor or prohibit speech or lawful assembly; create a community dedicated to an ethic of civil and free inquiry, which respects the autonomy of each member, supports individual capacities for growth and tolerates differences in opinion; treat all faculty, staff and students as individuals, hold them to equal standards and provide equality of opportunity with regard to race, ethnicity, religion, sex, sexual orientation, gender identity or gender expression.
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Department University Hospital | Care Management Services
Scope of Position The Clinical Documentation Improvement 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 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:
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
Additional Information Location: Remote Location
Position Type: Regular
Scheduled Hours: 40
Shift: First Shift
Final candidates are subject to successful completion of a background check. A drug screen or physical may be required during the post offer process.
The university is an equal opportunity employer, including veterans and disability.
As required by Ohio Revised Code section 3345.0216, Ohio State will: educate students by means of free, open and rigorous intellectual inquiry to seek the truth; equip students with the opportunity to develop intellectual skills to reach their own, informed conclusions; not require, favor, disfavor or prohibit speech or lawful assembly; create a community dedicated to an ethic of civil and free inquiry, which respects the autonomy of each member, supports individual capacities for growth and tolerates differences in opinion; treat all faculty, staff and students as individuals, hold them to equal standards and provide equality of opportunity with regard to race, ethnicity, religion, sex, sexual orientation, gender identity or gender expression.
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