Quality Improvement/CDI Analyst
About The Position
This role combines responsibilities of both a CDI Specialist and a Quality Improvement Analyst. The CDI Specialist will identify opportunities to impact risk adjustment factors through documentation of complicating and comorbid conditions, formulate provider queries, and ensure compliance with federal laws. The Quality Improvement Analyst will perform Q.I. studies to enhance patient care and collaborate with healthcare personnel to ensure compliance with Q.I. standards. The position requires a graduate of an approved school of nursing with a minimum of three years of clinical experience and a current license with the State of Missouri. An experienced CDI Specialist will be given special consideration.
Requirements
- Graduate of approved school of nursing
- Minimum three (3) years clinical experience
- Current license with State of Missouri
Nice To Haves
- R.N.
- Bachelor’s Degree
- Experienced CDI Specialist
Responsibilities
- Identify opportunities to impact risk adjustment factors through documentation of complicating and comorbid, or major complicating and comorbid conditions and formulate a provider query based on query guidelines.
- Complete provider clarification queries per guidelines for instances in which documentation in the medical record is ambiguous, incomplete, or conflicting, and provide timely provider follow-up as needed.
- Facilitate communication and collaboration among coders, providers, and nurses to identify documentation opportunities that appropriately reflect severity of illness and risk of mortality.
- Applies knowledge of medical terminology and medical procedures to properly evaluate clinical documents.
- Ensure all clinical documents are in compliance with federal laws in terms of composition.
- Prepares written reports for internal monitoring and complies data for reporting.
- Takes continuing education courses and stays up-to-date on changes in laws governing clinical documentation.
- Performs Q.I. studies using criteria developed by physicians and other health professionals to enhance and improve patient care.
- Collaborates with physicians, nurses, and other health care personnel to ensure compliance with Q.I. standards.
- Prepares reports, graphs, and statistical data for reporting through committee structure.
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
Associate degree
