Job Description

Job Description

Job Description

Quality Improvement/CDI Analyst - Registered Nurse - On-Site

Functions of Position CDI Specialist

• Identify opportunities to impact risk adjustment factors through documentation of complicating and comorbid, or major complicating and comorbid conditions and formulate a provider query based on query guidelines.
• Complete provider clarification queries per guidelines for instances in which documentation in the medical record is ambiguous, incomplete, or conflicting, and provide timely provider follow-up as needed.
• Facilitate communication and collaboration among coders, providers, and nurses to identify documentation opportunities that appropriately reflect severity of illness and risk of mortality.
• Applies knowledge of medical terminology and medical procedures to properly evaluate clinical documents.
• Ensure all clinical documents are in compliance with federal laws in terms of composition.
• Prepares written reports for internal monitoring and complies data for reporting.
• Takes continuing education courses and stays up-to-date on changes in laws governing clinical documentation.

Functions of Position Quality Improvement Analyst

• Performs Q.I. studies using criteria developed by physicians and other health professionals to enhance and improve patient care.
• Collaborates with physicians, nurses, and other health care personnel to ensure compliance with Q.I. standards.
• Prepares reports, graphs, and statistical data for reporting through committee structure.

Qualifications:

• Graduate of approved school of nursing, 
• Minimum three (3) years clinical experience.
• R.N., Bachelor’s Degree Preferred
• Current license with State of Missouri 
• Experienced CDI Specialist will be given special consideration for the position.
• Experienced CDI Specialist will have less of a quality role with concentration in Clinical Documentation.

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