Quality Improvement/CDI Analyst - Registered Nurse - On-Site Functions of Position CDI Specialist 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. Functions of Position Quality Improvement Analyst 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.
Qualifications:
Graduate of approved school of nursing, Minimum three (3) years clinical experience. R.N., Bachelor s Degree Preferred Current license with State of Missouri Experienced CDI Specialist will be given special consideration for the position. Experienced CDI Specialist will have less of a quality role with concentration in Clinical Documentation. Full-time, Monday - Friday