CDQI Nurse Specialist

Datavant

. Conduct timely, accurate, and complete documentation reviews for selected inpatient records, addressing inadequate or conflicting documentation .

Posted 9/15/2026part-timeRemote • United StatesMid-LevelSenior💰 $45 - $50 per hourWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in Clinical Documentation Improvement (CDI) with a strong focus on accurate documentation, coding compliance, and collaboration with healthcare professionals. Proficient in applying clinical knowledge to enhance reimbursement processes and ensure adherence to AHA guidelines.

Highest-signal resume keywords

Clinical Documentation Improvement (CDI)Registered Nurse LicenseCCDS or CDIP Certification3+ Years of CDI Experience3+ Years of Clinical Experience

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Documentation ReviewCoding ComplianceDRG UnderstandingClinical Severity AssessmentCase Mix Index AnalysisQuerying PhysiciansProduction LoggingFollow-Up ReviewsPatient Medical Record ReviewCoding Specificity Education

Soft Skills

CollaborationCommunicationAttention to DetailProblem-SolvingConfidentiality

Certifications & Qualifications

CCDS CertificationCDIP Certification

Industry Keywords

AHA GuidelinesInpatient RecordsReimbursementCo-MorbiditiesSeverity of IllnessRisk of MortalitySecondary DiagnosesProcedure ImpactHealth Record DocumentationQuality Metrics

About the role

Key responsibilities & impact

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
Apply understanding of complications, co-morbidities, severity of illness, risk of mortality, case mix index, secondary diagnoses, and procedure impact on DRG
Educate physicians and caregivers on clear documentation to improve coding specificity
Follow AHA guidelines and coding clinics for accurate coding and required documentation compliance
Query physicians regarding missing, unclear, or conflicting health record documentation
Maintain daily production logs tracking cases reviewed and queries placed/responded to
Perform follow-up reviews to confirm points of clarification in patient medical records
Ensure confidentiality of files, documents, and records
Meet or exceed production and quality metrics

Requirements

What you’ll need

3+ years of CDI experience
3+ years of clinical experience in an academic medical center
Registered Nurse license
Bachelor's degree in Nursing
CCDS or CDIP certification required
Must pass a CDI skills competency assessment
Must be able to accommodate a minimum of 15 hours per week
This job is not eligible for employment sponsorship

Benefits

Comp & perks

Equal Employment Opportunity employer
Post-offer health screenings and vaccinations such as flu shot, Tdap, and COVID-19, as required by clients
Reasonable accommodations for individuals with physical and mental disabilities
Voluntary anonymous demographic questions that do not affect the application or hiring process