Clinical Documentation Integrity Analyst
Employment Information
Report this job
Job expired or something wrong with this job?
Job Description
Remote Clinical Documentation Integrity Analyst training CDI specialists and reviewing records for accurate acuity, mortality risk, and DRG capture. Supporting University Hospitals’ revenue-cycle and quality initiatives.
Responsibilities:
- Educate and train CDI Specialists on essential role duties, coding rules, and clinical documentation integrity
- Train newly hired CDI Specialists and provide ongoing coaching and education
- Ensure Clinical Documentation Integrity staff work is accurate and compliant
- Collaborate with CDI leadership and Coding teams on training and education opportunities
- Perform post-discharge, final-coded, pre-bill second-level reviews to capture patient acuity, severity of illness, risk of mortality, and DRG assignment
- Document second-level review findings in the CDI application
- Place physician queries and follow up on responses when documentation opportunities are identified
- Coordinate with coders and Coding Leadership on coding opportunities
- Serve as a role model, subject matter expert, and resource for CDI team members
- Respond to CDS requests for concurrent chart reviews on challenging cases
- Perform concurrent second-level reviews and provide feedback to assigned CDI Specialists
- Maintain summaries of opportunities for CDI team feedback and education
- Compile trends and opportunities with reviewers, CDI Leads, and CDI Educator; conduct individual and group education
- Review and recommend updates to second-level review criteria
- Perform targeted audits and participate in quality initiatives including HAC/PSI and US News/Mortality
- Collaborate on query template optimization
- Identify workflow improvement opportunities and support change management
- Advance CDI practice throughout the UH enterprise and participate in committees
- Perform other duties as assigned and comply with policies, standards, and PHI requirements
Requirements:
- Diploma in Nursing or Health Information Management, or Associate's/Bachelor's degree preferably in Health Information Management or Nursing, or Doctorate Degree in Medicine
- 3+ years CDI experience as a concurrent reviewer
- Extensive clinical knowledge and understanding of pathology/physiology, demonstrated by clinical experience in a hospital setting
- Strong critical thinking skills and ability to review medical records for undocumented information supported by clinical indicators or clues
- Comprehension of Case Mix Index (CMI); ability to interpret, analyze, and evaluate data and develop strategies to optimize CMI
- Knowledge of age-specific patient needs, disease processes, and related procedures
- Excellent written and verbal communication skills, including concise and effective communication with providers
- Assertive personality traits to facilitate ongoing physician communication
- Working knowledge of inpatient admission criteria
- Ability to work independently in a time-oriented environment and as part of a team, primarily in a virtual setting
- Maintains professional knowledge through relevant reading and webinars
- Earns and maintains Certification for Clinical Documentation Improvement
- Incorporates current literature, research, and best practices from ACDIS and AHIMA
- Up-to-date clinical and coding experience, including pathology, pharmacology, and surgical procedures
- Detail-oriented, organized, and strong time-management, analytical, and problem-solving skills
- Client service, communication, presentation, and relationship-building skills
- Required upon hire: RN Ohio and/or Multi-State Compact license, or RHIA, or RHIT
- Required upon hire: CCDS or CDIP certification
- International medical doctor education and experience may meet qualifications in lieu of RN, RHIA, or RHIT
Benefits:
- $5,000 sign-on bonus
Similar Jobs
Senior Medical Copywriter
Senior Medical Copywriter creating branded HCP and medical education content for Orchard’s US pharmaceutical clients. Translating complex science into accurate, FDA-compliant campaigns.
RN Nurse, Clinical Documentation Improvement Specialist
Clinical Documentation Improvement Specialist reviewing inpatient records and physician documentation for R1’s healthcare revenue-cycle technology. Improving coding accuracy, severity capture, and compliance.
Medical Writer III, Pharmacovigilance
Medical Writer III authoring regulatory pharmacovigilance documents for PrimeVigilance, a global patient-safety specialist. Analysing safety data, supporting clients, and mentoring junior medical writers.
Medical Writer III, Pharmacovigilance
Medical Writer III creating regulatory pharmacovigilance documents for PrimeVigilance, a global patient-safety specialist. Analysing safety data, supporting clients, and mentoring junior medical writers.
Principal Medical Writer – Regulatory Submission
Medical writer developing global regulatory submissions for Syneos Health’s biopharmaceutical clients. Managing cross-functional timelines, quality documents, process improvements, and junior writer mentorship.
Senior Medical Writer – FSP
Senior Medical Writer producing clinical and regulatory documents for Syneos Health, a life sciences services organization. Leading cross-functional medical writing, reviews, and client deliverables.
Medical Writer
Medical Writer authoring clinical and regulatory documents for Quanticate, a global data-focused CRO. Leading projects, supporting clients, and mentoring writers across clinical development programmes.
Senior Medical Writer
Senior Medical Writer creating clinical documents and scientific communications for ICON, a global healthcare intelligence and clinical research organisation. Supporting late-phase projects and client account teams.
Medical Copywriter
Medical copywriter translating complex pharmaceutical science into promotional content. Developing compliant campaigns for HCPs, patients, and global healthcare brands at Greenpark.
Senior Medical Writer
Senior Medical Writer creating clinical and regulatory documents for Syneos Health’s life sciences research services. Coordinating reviews, regulatory compliance, and cross-functional study deliverables.
Senior Medical Copywriter
Senior Medical Copywriter creating HCP campaigns and medical education content for Orchard, a medical communications agency. Translating complex science into accurate, FDA-compliant copy for US pharmaceutical clients.
Sponsor Dedicated Protocol Medical Writer II/Sr
Medical Writer developing clinical protocols and regulatory documents for Syneos Health’s life sciences clients. Partnering with Clinical Scientists across oncology, hematology, and cell therapy studies.
Senior Clinical Documentation Improvement Specialist
Senior CDI Specialist improving inpatient medical-record documentation integrity at Mercy. Reviewing records, educating providers, and supporting healthcare quality and compliance initiatives.
RN – Clinical Documentation Integrity Specialist
RN CDI Specialist reviewing inpatient records, clarifying diagnoses, and supporting DRG accuracy for Carle Health. Educating clinicians and contributing to coding, quality, and compliance initiatives.
Clinical Documentation Specialist
Clinical Documentation Specialist reviewing inpatient records for MercyOne Genesis healthcare. Ensuring accurate clinical severity, mortality risk, quality indicators, and service-level documentation.
Clinical Documentation Specialist
Clinical Documentation Specialist reviewing inpatient records for accuracy and completeness at MercyOne Genesis. Educating providers and querying documentation to support compliant patient-care coding.
Senior Strategic Medical Writer
Senior Strategic Medical Writer leading clinical and regulatory documentation for AbbVie’s drug and device development. Coordinating reviews, quality control, submission strategies, and inspection-ready responses.
Medical Writer
Medical Writer developing clinical trial documents for Emerald Clinical Trials, a global clinical research company. Drafting protocols, CSRs, regulatory submissions, and scientific manuscripts.
Medical Writer – Senior Medical Writer
Medical Writer leading complex clinical and regulatory documentation for Emerald Clinical Trials. Supporting drug development and clinical research across global pharmaceutical and biotech programs.
Clinical Documentation Integrity Analyst
Clinical Documentation Integrity Analyst reviewing hospital records, physician queries, and coding opportunities. Training CDI specialists and improving documentation accuracy, compliance, and quality outcomes at University Hospitals.