Lead Clinical Documentation Improvement Specialist (REMOTE)

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Job Title:

Lead Clinical Documentation Improvement Specialist (REMOTE)

Department:

University Hospital Care Management Services

Scope of Position

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

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.

Thank you for your interest in positions at The Ohio State University and Wexner Medical Center. Once you have applied, the most updated information on the status of your application can be found by visiting the Candidate Home section of this site. Please view your submitted applications by logging in and reviewing your status. For answers to additional questions please review the frequently asked questions.

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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