Clinical Documentation Integrity Quality Analyst

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Job Title:

Clinical Documentation Integrity Quality Analyst

Department:

James | Clinical Documentation Improvement

Scope of Position

The Clinical Documentation Improvement Analyst 3 (CDI Quality Analyst) is a highly experienced clinical documentation professional responsible for performing a dual-function role: 50% concurrent CDI reviews and 50% second-level reviews focused on quality measures, clinical validation, and advanced work queue (WQ) management. This position supports accurate and complete documentation to reflect the true severity of illness, risk of mortality, and quality of care provided, and functions as a liaison between the CDI department, coding, quality and compliance.

 

Position Summary

This position supports initiatives to improve healthcare provider documentation integrity ensure accurate medical coding within the Ohio State University Health System. The CDI Analyst 3 follows JCAHO, CMS, and 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 3 completes second level review for quality measures, clinical validation, and outcomes improvement.  The CDI Analyst 3 provides internal education to CDI Analysts, healthcare providers, and interdisciplinary work groups.  The CDI Analyst 3 assists with audits to ensure compliance and coding accuracy and identify professional development opportunities for CDI team.

Minimum Qualifications

Required:

Bachelor’s degree in nursing (BSN) required, RN license required.  Minimum of four (4) years, prefer five (5) years of experience in acute care nursing and Clinical Documentation Integrity required, including advanced knowledge of coding guidelines, clinical validation, compliant query practice, and quality metrics. Strong understanding of CMS, Vizient, AHRQ, and other payer / quality methodologies.  Must hold certification as a Certified Clinical Documentation Specialist (CCDS) or Certified Documentation Improvement Practitioner (CDIP), or must be obtained within one (1) year of hire.

Ongoing:

Maintain continuing education for any license or certification that is held as well as medical center computer-based learning (CBL)

Additional Information:

Location:

James Cancer Hospital (0375)

Position Type:

Regular

Scheduled Hours:

40

Shift:

First Shift

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