Quality CDI Analyst, RN (Open to experienced remote in ID, TN, MO, OK, TX)

Whittier, CA - USA

Monthly Salary: USD 36 - 60

Posted on: 20 hours ago

Vacancies: 1 Vacancy

Job Summary

Serves as a lead and data expert on the Hospital Inpatient Quality Reporting (IQR) Programs as well as system coordinator for the Vizient Clinical Data Base (CDB) product. Will be responsible for medical record review facilitating clinically appropriate documentation of all patient conditions treatments and interventions to accurately reflect the reason for admission conditions present on admission quality of care severity of illness and risk of mortality to support correct coding reimbursement and quality initiatives. Requires an understanding of the information needs of a health care setting and a knowledge of hospital workflow/operations and coding classifications in order to provide meaningful data for informed decision making. Other responsibilities include data analysis and compilation metric education process evaluation and auditing.

Required Skills

Ability to write queries that are concise and easily understood by the provider in order to obtain additional information and clarification of documentation
Ability to interpret specifications for the IQR Programs
Ability to reference and interpret CMS guidelines and regulatory requirements
Strength in ICD-10 and MS-DRG structures HACs PSIs value based purchasing bundled payments accountable care organizations and readmission reduction programs
Extensive knowledge of pharmacology and pathophysiology and disease processes
Strength in attention to detailhighly organized
Ability to work independently with a high degree of self-motivation
Strength in data collection formatting and management
Strength in the Microsoft suite of software
Excellent communication skills both verbal and written
Persistent demonstration of accountability accuracy thoroughness and sound judgment
Ability to anticipate needs and place audience at the center of own thinking and actions
Ability to establish and maintain effective working relationships with all departments
Strength in risk identification and appropriate escalation
Able to deal with frequent change or unexpected events

Required Experience:

Senior IC

Required Skills

Ability to write queries that are concise and easily understood by the provider in order to obtain additional information and clarification of documentation
Ability to interpret specifications for the IQR Programs
Ability to reference and interpret CMS guidelines and regulatory requirements
Strength in ICD-10 and MS-DRG structures HACs PSIs value based purchasing bundled payments accountable care organizations and readmission reduction programs
Extensive knowledge of pharmacology and pathophysiology and disease processes
Strength in attention to detailhighly organized
Ability to work independently with a high degree of self-motivation
Strength in data collection formatting and management
Strength in the Microsoft suite of software
Excellent communication skills both verbal and written
Persistent demonstration of accountability accuracy thoroughness and sound judgment
Ability to anticipate needs and place audience at the center of own thinking and actions
Ability to establish and maintain effective working relationships with all departments
Strength in risk identification and appropriate escalation
Able to deal with frequent change or unexpected events