"Clinical Documentation Quality Analyst"

Scope of Position

The Clinical Documentation Improvement (CDI) Quality Analyst is a highly experienced clinical documentation professional responsible for performing a dual-function role consisting of concurrent CDI reviews and second-level reviews focused on quality measures, clinical validation, and advanced work queue (WQ) management. This position supports accurate and complete documentation to reflect the true severity of illness, risk of mortality, and quality of care provided, and functions as a liaison between the CDI department, coding, quality and compliance.

Position Summary

The Clinical Documentation Improvement (CDI) Quality Analyst supports initiatives to improve healthcare provider documentation integrity ensure accurate medical coding within the Ohio State University Health System. The CDI Analyst 3 follows JCAHO, CMS, 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 CDI Quality Analyst completes second level review for quality measures, clinical validation, and outcomes improvement. The position provides internal education to CDI Analysts, healthcare providers, and interdisciplinary work groups, and assists with audits to ensure compliance and coding accuracy and identify professional development opportunities for CDI team.

Minimum Qualifications

Required:

• Bachelors degree
• Active RN license
• Minimum four (4) years of experience including acute care nursing, education, and clinical documentation integrity required.
• Must hold certification as a Certified Clinical Documentation Specialist (CCDS) or Certified Documentation Improvement Practitioner (CDIP), or must be obtained within one (1) year of hire.

Preferred:

• Experience in Clinical Documentation Integrity Auditing/Education.
• Strong understanding of CMS, Vizient, AHRQ, and other payer / quality methodologies
• Proficiency with IHIS and CDI software platforms
• Experience with mortality index analysis and documentation impact on quality scores
• Proficiency in ICD-10-CM coding and AHA Coding Clinic.

Ongoing:

• Maintain RN licensure in good standing
• Excellent analytical, communication, and collaboration skills
• Ability to work independently and manage multiple tasks effectively.
• Familiarity with payor compliance and quality metrics.
• Active involvement in quality assurance and process improvement initiatives.
• Ensuring compliance with all relevant healthcare regulations and standards