CDQI Nurse Specialist
Core
Conduct daily evaluations of inpatient medical records to enhance documentation clarity, completeness, and accuracy for DRG-based payer patients.
Role type
Clinical Documentation Quality Improvement (CDQI) Specialist
Builds
Accurate and comprehensive physician documentation for healthcare data precision
Domain
Healthcare / Clinical Documentation Improvement (CDI)
Deliverable
production ML models | product features | dashboards & analysis | research | client delivery | infrastructure | physical/clinical work
Required skills
Inpatient record review, physician communication, DRG coding knowledge, complication/co-morbidity assessment, AHA guidelines compliance, production logging, follow-up review
Preferred skills
Academic medical center experience, CDI competency assessment pass
Technologies
AHA guidelines, DRG coding systems
Responsibilities
Conduct timely and accurate documentation reviews for selected inpatient records; Query physicians regarding missing, unclear, or conflicting health record documentation; Maintain daily production logs for evaluation and tracking; Perform follow-up reviews to confirm recorded points of clarification; Ensure confidentiality of all files and records; Meet or exceed production and quality metrics
Seniority
Mid-level, hands-on IC