CDQI Nurse Specialist
Core
Conduct daily evaluations of inpatient medical records and query providers to enhance documentation clarity, completeness, and accuracy for DRG-based coding and reimbursement.
Role type
Clinical Documentation Quality Improvement (CDQI) Specialist
Builds
Accurate and comprehensive physician documentation for healthcare data and reimbursement
Domain
Healthcare / Clinical Documentation Improvement (CDI)
Deliverable
physical/clinical work
Required skills
Inpatient record review, provider communication, DRG coding knowledge, complication/co-morbidity assessment, AHA guidelines compliance, production logging, follow-up review verification
Preferred skills
Academic medical center experience
Technologies
AHA guidelines, coding clinics
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
