Clinical Documentation Integrity Analyst (Remote) ($5K Sign on)

• Documents SLR findings within CDI application.

• Serves as a role model and resource for CDI team members

• Subject matter expert that exhibits excellent skills in essential components of the CDI Specialist role
• Responds to CDS requests for concurrent chart reviews on challenging cases with recommendations and supporting rationale

• Coordinates with other Second Level Reviewers, CDI Leads, and CDI Educator to compile trends and areas of opportunity and conduct education both 1:1 and group education with the CDI team based on the findings * Periodically review the criteria established for cases triggering a second level review and recommend updates or modifications to the criteria to assist in identifying areas of opportunity
• Is actively engaged in quality and process improvement efforts

• Performs targeted audits as assigned in support of department initiatives
• Participates in quality initiatives such as HAC/PSI and US News/Mortality
• Collaborates with CDI Leadership, Leads and Educators to optimize query templates
• Identifies and shares feedback regarding workflow improvement opportunities identified when completing the SLR process
• Facilitates change and supports the CDI team through change management processes
• Actively engages in advancing the CDI practice throughout the UH enterprise
• Actively engages in department and/or enterprise-wide committee

• Performs other duties as assigned.
• Complies with all policies and standards.
• For specific duties and responsibilities, refer to documentation provided by the department during orientation.
• Must abide by all requirements to safely and securely maintain Protected Health Information (PHI) for our patients. Annual training, the UH Code of Conduct and UH policies and procedures are in place to address appropriate use of PHI in the workplace.

• Other Accredited Program: Diploma in Nursing or in Health Information Management (Required) or
• Associate's Degree preferably in Health Information Management or Nursing (Required) or
• Bachelor's Degree preferably in Health Information Management or Nursing (Required) or
• Doctorate Degree in Medicine (Required)

• 3+ years CDI experience as a concurrent reviewer (Required)

• Extensive clinical knowledge and understanding of pathology/physiology; best demonstrated by clinical experience in hospital setting (Required proficiency)
• Strong critical thinking skills and the ability to review the medical record to identify information not yet documented but supported by clinical indicators or clinical clues (Required proficiency)
• Demonstrates comprehension of Case Mix Index (CMI) and can interpret, analyze, evaluate data, provide rationale for trends/impacting factors and develop strategy for correcting/optimizing CMI (Required proficiency)
• Knowledge of age-specific patient needs and the elements of disease processes and related procedures (Required proficiency)
• Excellent written and verbal communication skills; ability to write concisely and effectively when communicating with providers (Required proficiency)
• Assertive personality traits to facilitate ongoing physician communication (Required proficiency)
• Working knowledge of inpatient admission criteria. (Required proficiency)
• Ability to work independently in a time-oriented environment as well as working as part of a team, primarily in a virtual setting. (Required proficiency)
• Applies knowledge and expertise to daily job responsibilities. Maintains professional knowledge by reading and/or attending webinars that pertain to Clinical Documentation Improvement. (Required proficiency)
• Earns and maintains Certification for Clinical Documentation Improvement. (Required proficiency)
• Incorporates current literature, research and best practice ( ACDIS and AHIMA ) into daily practice. (Required proficiency)
• Up to-date clinical and coding experience, and current working knowledge of pathology, pharmacology, surgical procedures, etc. (Required proficiency)
• Detail-oriented and organized, have excellent time-management skills, and have good analytical and problem-solving ability. (Required proficiency)
• Notable client service, communication, presentation and relationship building skills. (Required proficiency)

• Registered Nurse (RN), Ohio and/or Multi State Compact License (Required Upon Hire) or
• Registered Health Information Administration (RHIA) (Required Upon Hire) or
• Registered Health Information Technologist (RHIT) (Required Upon Hire)

• Certified Clinical Documentation Specialist (CCDS) (Required Upon Hire) or
• Clinical Documentation Improvement Practitioner (CDIP) (Required Upon Hire)
• International medical doctor education and experience can meet qualifications in lieu of RN, RHIA or RHIT

• Standing Occasionally
• Walking Occasionally
• Sitting Constantly
• Lifting Rarely up to 20 lbs
• Carrying Rarely up to 20 lbs
• Pushing Rarely up to 20 lbs
• Pulling Rarely up to 20 lbs
• Climbing Rarely up to 20 lbs
• Balancing Rarely
• Stooping Rarely
• Kneeling Rarely
• Crouching Rarely
• Crawling Rarely
• Reaching Rarely
• Handling Occasionally
• Grasping Occasionally
• Feeling Rarely
• Talking Constantly
• Hearing Constantly
• Repetitive Motions Frequently
• Eye/Hand/Foot Coordination Frequently

Lake Health