Datavant is a data platform company and the world’s leader in health data exchange. Our vision is that every healthcare decision is powered by the right data, at the right time, in the right format.

Our platform is powered by the largest, most diverse health data network in the U.S., enabling data to be secure, accessible and usable to inform better health decisions. Datavant is trusted by the world’s leading life sciences companies, government agencies, and those who deliver and pay for care.

By joining Datavant today, you’re stepping onto a high-performing, values-driven team. Together, we’re rising to the challenge of tackling some of healthcare’s most complex problems with technology-forward solutions. Datavanters bring a diversity of professional, educational and life experiences to realize our bold vision for healthcare.

What We’re Looking For:

As a Clinical Documentation Quality Improvement (CDQI) Specialist, you will play a pivotal role in elevating the impact of our medical record documentation. You will conduct daily evaluations and engage in direct communication with providers to enhance documentation clarity, completeness, and overall medical record quality. By ensuring accurate and comprehensive physician documentation, you will be at the forefront of influencing the precision of code assignment, making a tangible difference in the accuracy of healthcare data. Join us in this critical role where your efforts will have a direct and meaningful impact on the quality and effectiveness of patient care.

Preferred: A candidate that can perform daily evaluations pertaining to the quality and accuracy of clinical documentation in medical records.

What You Will Do:

Conduct timely, accurate, and complete documentation reviews for selected inpatient records, addressing inadequate or conflicting documentation.
Collaborate with physicians and caregivers to ensure appropriate reimbursement and clinical severity for DRG-based payer patients.
Demonstrate understanding of complications, co-morbidities, severity of illness, risk of mortality, case mix index, secondary diagnoses, and procedure impact on DRG.
Improve coding specificity by educating physicians and caregivers on the importance of clear documentation throughout a patient's stay.
Follow AHA guidelines and coding clinics for accurate coding and required documentation to ensure compliance.
Query physicians regarding missing, unclear, or conflicting health record documentation to obtain necessary details.
Maintain daily production logs for evaluation, tracking cases reviewed, queries placed/responded, etc.
Perform follow-up reviews to confirm recorded points of clarification in the patient's medical record.
Ensure confidentiality of all files, documents, and records.
Meet or exceed production and quality metrics.

Preferred: A candidate that can perform daily evaluations pertaining to the quality and accuracy of clinical documentation in medical records.

What You Need to Succeed:

3+ years of CDI experience
3+ years of clinical experience in an academic medical center
Registered Nurse license, Bachelor's degree in Nursing
CCDS or CDIP certification required
Must pass a CDI skills competency assessment
Must be able to accommodate a min of 15 hours per week

Pay ranges for this job title may differ based on location, responsibilities, skills, experience, and other requirements of the role.

The estimated base pay range per hour for this role is:

$35—$40 USD

To ensure the safety of patients and staff, many of our clients require post-offer health screenings and proof and/or completion of various vaccinations such as the flu shot, Tdap, COVID-19, etc. Any requests to be exempted from these requirements will be reviewed by Datavant Human Resources and determined on a case-by-case basis. Depending on the state in which you will be working, exemptions may be available on the basis of disability, medical contraindications to the vaccine or any of its components, pregnancy or pregnancy-related medical conditions, and/or religion.

This job is not eligible for employment sponsorship.

Datavant is committed to a work environment free from job discrimination. We are proud to be an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, sex, sexual orientation, gender identity, religion, national origin, disability, veteran status, or other legally protected status. To learn more about our commitment, please review our EEO Commitment Statement here. Know Your Rights, explore the resources available through the EEOC for more information regarding your legal rights and protections. In addition, Datavant does not and will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay.

At the end of this application, you will find a set of voluntary demographic questions. If you choose to respond, your answers will be anonymous and will help us identify areas for improvement in our recruitment process. (We can only see aggregate responses, not individual ones. In fact, we aren’t even able to see whether you’ve responded.) Responding is entirely optional and will not affect your application or hiring process in any way.

Datavant is committed to working with and providing reasonable accommodations to individuals with physical and mental disabilities. If you need an accommodation while seeking employment, please request it here, by selecting the ‘Interview Accommodation Request’ category. You will need your requisition ID when submitting your request, you can find instructions for locating it here. Requests for reasonable accommodations will be reviewed on a case-by-case basis.

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Originally posted on Himalayas

CDQI Nurse Specialist

Job Description

What We’re Looking For:

What You Will Do:

What You Need to Succeed: