CDQI Nurse Specialist- PRN

About the Role

The successful candidate will be part of a driven and highly collaborative team that is passionate about creating transformative change in healthcare. Datavant's mission to make the world's health data secure, accessible, and actionable provides a compelling context for this role. The company's data collaboration platform is trusted across the healthcare ecosystem, including providers, health plans, researchers, and life sciences companies.

Datavant's approach to healthcare data is innovative and forward-thinking, aiming to power the AI revolution in healthcare. From facilitating a single patient's access to their medical records to enabling large-scale research and development, the work done at Datavant has the potential to improve health outcomes significantly.

What You Will Do

• 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.
• Demonstrate understanding of complications, co-morbidities, severity of illness, risk of mortality, case mix index, secondary diagnoses, and procedure impact on DRG.
• Improve coding specificity by educating physicians and caregivers on the importance of clear documentation throughout a patient's stay.
• Follow AHA guidelines and coding clinics for accurate coding and required documentation to ensure compliance.
• Query physicians regarding missing, unclear, or conflicting health record documentation to obtain necessary details.
• Maintain daily production logs for evaluation, tracking cases reviewed, queries placed/responded, etc.
• Perform follow-up reviews to confirm recorded points of clarification in the patient's medical record.
• Ensure confidentiality of all files, documents, and records.
• Meet or exceed production and quality metrics.

What We Are Looking For

• 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.
• Ability to accommodate a minimum of 15 hours per week.
• Strong understanding of healthcare data regulations and coding standards.
• Excellent communication and interpersonal skills.
• Ability to work independently and as part of a team.
• Proficiency in electronic health records systems.

Nice to Have

• Experience with data analysis and reporting.
• Knowledge of healthcare information technology systems.
• Certification in a related field (e.g., CIC, COC).
• Previous experience in a remote work environment.
• Familiarity with project management tools and software.

Benefits and Perks

• Competitive hourly rate ($40-$45 USD).
• Opportunity to work with a cutting-edge data collaboration platform.
• Flexible, remote work arrangements.
• Professional development opportunities.
• Access to a collaborative and supportive team environment.
• Comprehensive benefits package (details available upon request).
• Opportunities for career advancement within a growing company.
• Recognition and reward for outstanding performance.
• Flexible scheduling to accommodate work-life balance.

• Research Datavant's Mission: Understand the company's vision for healthcare data to show your alignment with their goals.
• Highlight Coding Skills: Emphasize your experience with coding standards and compliance in your application.
• Prepare Examples: Be ready to discuss specific instances where you improved documentation quality and its impact on patient care.
• Showcase Communication Skills: As this role involves direct communication with healthcare providers, demonstrate your ability to communicate complex ideas clearly.
• Stay Updated on Regulations: Show that you are aware of the latest healthcare data regulations and coding standards.
• Ask About Technology: Inquire about the tools and systems used by Datavant to manage healthcare data, showcasing your interest in the technical aspects of the role.