Clinical Documentation Improvement Analyst 2

Details

Posted: 23-Mar-24

Type: Full-time

Salary: Open

Categories:

Administrative/Support
Staff/Administrative

Internal Number: R98941

Scope of Position
The Clinical Documentation Improvement Specialist (CDIS) is a nurse who is responsible for concurrent review of inpatient medical records to identify opportunities for improving the quality of medical record documentation. Opportunities include identification of cases where diagnoses and procedures are either absent, not stated in appropriate terminology, or are not appropriately recorded. The CDIS will confer with the appropriate professional staff the additional documentation that may be required. The CDIS goal is to achieve a complete medical record by the time of patient discharge in order to ensure quality documentation that reflect the patients? diagnoses, treatments, and severity of illness, and to facilitate and enhance the coding and DRG assignment process.
Position Summary
This position supports initiatives to improve the quality of documentation by all professional staff within the Ohio State University Health System with specific emphasis on improving documentation used in the coding process. The CDIS follows JCAHO, Medicare and third party payor documentation guidelines and the official guidelines for assigning ICD-10 working diagnosis and procedure codes in efforts to continually improve the quality of medical record documentation. The CDIS provides information and reports to the attending physicians and other health care providers in relation to the patient care documentation process, case mix index, and length of stay.
Required Qualifications
Bachelor's degree in nursing. Minimum of recent 5 years clinical experience. Candidate must possess strong clinical skills and ability to identify areas for improvement in documentation in the medical record. Preferably with experience with medical record coding (ICD-10-CM) and data analysis. Knowledge and experience with medical information computer applications, word processing and electronic spreadsheets. Ability to develop and deliver presentations to various health and financial professionals required.

Career Roadmap

FUNCTION
Health Information Management

SUB-FUNCTION
Clinical Documentation Improvement

CAREER BAND
Individual Contributor - Specialized

CAREER LEVEL
S2

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About The Ohio State University
The Ohio State University is a dynamic community of diverse resources, where opportunity thrives and where individuals transform themselves and the world. Founded in 1870, Ohio State is a world-class public research university and the leading comprehensive teaching and research institution in the state of Ohio. With more than 63,000 students (including 57,000 in Columbus), the Wexner Medical Center, 14 colleges, 80 centers and 175 majors, the university offers its students tremendous breadth and depth of opportunity in the liberal arts, the sciences and the professions.
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