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Job Title:

Clinical Documentation Improvement Analyst 2

Department:

Health System Shared Services | MIM CDI and Coding

Scope of Position

The Clinical Documentation Improvement Analyst (CDIA) is a nurse or other clinically qualified individual 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 CDIA will confer with the appropriate caregiver on the additional documentation that may be required. The Documentation Specialist’s 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 caregivers within the Ohio State University Health System with specific emphasis on improving documentation to support the coding process which ultimately improves the organization’s performance on quality measures and on the Case Mix Index (CMI) which is critical to the financial health of the organization. The CDIS follows The Joint Commission (TJC), Medicare and third party payer documentation guidelines and the official guidelines for assigning ICD- 10-CM diagnosis and procedure codes in efforts to continually improve the quality of medical record documentation. The CDIS provides assistance to the attending physician and other health care providers in the patient care documentation process.

Minimum Qualifications For Hire

·         Associate's Degree in a health-related field or other Accredited Program Diploma in Nursing required; minimum 2-4 years acute care medical or surgical experience preferred. Intensive Care Unit preferred

·         A degree in Health Information Management with credentials of RHIA, RHIT, CCS, CCDS or CDIP with extensive clinical knowledge and a minimum of 2-4 years of inpatient coding experience will be considered in lieu of an RN.

Certification and Licensing:

·         Current Registered Nurse License in the State of practice.

·         Registered Health Information Administrator (RHIA), Registered Health Information Technologist (RHIT), Certified Coding Specialist (CCS), or Certified Clinical Documentation Specialist (CCDS) or Certified Documentation Improvement Professional (CDIP) could be considered in lieu of an RN.

Additional Information:

Location:

Remote Location

Position Type:

Regular

Scheduled Hours:

40

Shift:

First Shift

Thank you for your interest in positions at The Ohio State University and Wexner Medical Center. Once you have applied, the most updated information on the status of your application can be found by visiting the Candidate Home section of this site. Please view your submitted applications by logging in and reviewing your status. For answers to additional questions please review the frequently asked questions.

The university is an equal opportunity employer, including veterans and disability.