CDQI Nurse Specialist - PRN

Datavant is the data collaboration platform trusted for healthcare. Guided by our mission to make the world’s health data secure, accessible and actionable, we provide critical data solutions for organizations across the healthcare ecosystem - including providers, health plans, researchers, and life sciences companies. From fulfilling a single patient’s request for their medical records to powering the AI revolution in healthcare, Datavanters are building the future of how data is connected and used to improve health.

By joining Datavant today, you’re stepping onto a driven and highly collaborative team that is passionate about creating transformative change in healthcare. As a Clinical Documentation Quality Improvement (CDQI) Specialist, you will play a pivotal role in elevating the impact of our medical record documentation. You will conduct daily evaluations and engage in direct communication with providers to enhance documentation clarity, completeness, and overall medical record quality.

By ensuring accurate and comprehensive physician documentation, you will be at the forefront of influencing the precision of code assignment, making a tangible difference in the accuracy of healthcare data. Join us in this critical role where your efforts will have a direct and meaningful impact on the quality and effectiveness of patient care.

What You Will Do

: Conduct timely, accurate, and complete documentation reviews for selected inpatient records, addressing inadequate or conflicting documentation. Collaborate with physicians and caregivers to ensure appropriate reimbursement and clinical severity for DRG-based payer patients. Demonstrate understanding of complications, co-morbidities, severity of illness, risk of mortality, case mix index, secondary diagnoses, and procedure impact on DRG.

Improve coding specificity by educating physicians and caregivers on the importance of clear documentation throughout a patient's stay. Follow AHA guidelines and coding clinics for accurate coding and required documentation to ensure compliance. Query physicians regarding missing, unclear, or conflicting health record documentation to obtain necessary details.

Maintain daily production logs for evaluation, tracking cases reviewed, queries placed/responded, etc. Perform follow-up reviews to confirm recorded points of clarification in the patient's medical record. Ensure confidentiality of all files, documents, and records.

Meet or exceed production and quality metrics.

Responsibilities

, skills, experience, and other

Requirements

of the role.

will be reviewed by Datavant Human Resources and determined on a case-by-case basis. Depending on the state in which you will be working, exemptions may be available on the basis of disability, medical contraindications to the vaccine or any of its components, pregnancy or pregnancy-related medical conditions, and/or religion. This job is not eligible for employment sponsorship.

Datavant is committed to a work environment free from job discrimination.

Base Pay Range

per hour for this role is: $40 — $45 USD To ensure the safety of patients and staff, many of our clients require post-offer health screenings and proof and/or completion of various vaccinations such as the flu shot, Tdap, COVID-19, etc.

Equal Employment Opportunity

employer and all qualified applicants will receive consideration for employment without regard to race, color, sex, sexual orientation, gender identity, religion, national origin, disability, veteran status, or other legally protected status.