CDQI Nurse Specialist
Core
Conduct daily evaluations of inpatient medical records to enhance documentation clarity, completeness, and accuracy for precise code assignment and reimbursement.
Role type
Clinical Documentation Quality Improvement (CDQI) Specialist
Builds
Accurate healthcare data and DRG-based payer patient records
Domain
Healthcare / Medical Coding & Documentation
Deliverable
production ML models | product features | dashboards & analysis | research | client delivery | infrastructure | physical/clinical work
Required skills
Clinical Documentation Improvement (CDI) experience, Registered Nurse license, Bachelor's degree in Nursing, knowledge of complications/co-morbidities/severity of illness, AHA guidelines compliance, physician query management, production log maintenance
Preferred skills
CCDS or CDIP certification, academic medical center experience
Technologies
DRG coding systems, AHA guidelines, production tracking logs
Responsibilities
Review inpatient records for inadequate or conflicting documentation, collaborate with physicians on reimbursement and clinical severity, educate providers on documentation importance, query physicians for missing details, maintain daily production logs, perform follow-up reviews to confirm clarifications
Seniority
Mid-level, hands-on IC