Clinical Documentation Integrity Analyst (Remote) ($5K Sign on)

Caring for patients and their families. Advancing medical knowledge, technologies and practices. Developing and educating the next generation of exceptional health care professionals. You can help us with all this and more, when you add your talents to those who have already made the commitment to Be the Difference at University Hospitals. From our flagship facility, University Hospitals Cleveland Medical Center, to our network of 21 community hospitals, outpatient health & surgery centers, outpatient surgery centers, and specialty care centers, we provide leading-edge medicine and thoughtful, patient-centered care to the people of Northeast Ohio and beyond. We also provide rewarding career opportunities for today best and brightest health care professionals.

Applies clinical expertise and knowledge of health care workflows in order to educate and train CDI Specialists in the essential duties of their role to improve the overall accuracy and comprehensiveness of medical record documentation, with focus on ensuring accurate reporting of quality outcomes Educates CDI Specialists on the rules/regulations associated with coding and clinical documentation integrity. Trains newly hired CDI Specialists and provides ongoing coaching and education specific to daily CDI Specialist job functions. Ensures the work output of the Clinical Documentation Integrity staff is accurate and compliant. Collaborates with CDI leadership and Coding team to identify training opportunities and assist with education of CDI and Coding staff with regard to clinical documentation integrity and/or clinical and coding scenarios as needed.

Performs post-discharge, final coded, pre-bill reviews of targeted records identified for second-level review for opportunity to accurately capture patient acuity, severity of illness, risk of mortality, and DRG assignment in compliance with industry rules and regulations Documents SLR findings within CDI application. If a documentation opportunity is identified, place physician query and follow up for response to ensure completeness and accuracy of the medical record. If coding opportunity is identified, coordinate with coder and/or Coding Leadership to review and address opportunity as applicable Subject matter expert that exhibits excellent skills in essential components of the CDI Specialist role Responds to CDS requests for concurrent chart reviews on challenging cases with recommendations and supporting rationale Performs concurrent second level reviews based on defined criteria and shares feedback with CDI Specialist assigned to the encounter for action on opportunities identified. Maintains a summary of opportunities identified through second level review for feedback and education with the CDI team Coordinates with other Second Level Reviewers, CDI Leads, and CDI Educator to compile trends and areas of opportunity and conduct education both 1:1 and group education with the CDI team based on the findings Periodically review the criteria established for cases triggering a second level review and recommend updates or modifications to the criteria to assist in identifying areas of opportunity Is actively engaged in quality and process improvement efforts Performs targeted audits as assigned in support of department initiatives Participates in quality initiatives such as HAC/PSI and US News/Mortality Collaborates with CDI Leadership, Leads and Educators to optimize query templates Identifies and shares feedback regarding workflow improvement opportunities identified when completing the SLR process Facilitates change and supports the CDI team through change management processes Actively engages in advancing the CDI practice throughout the UH enterprise Actively engages in department and/or enterprise-wide committee Additional Responsibilities: Performs other duties as assigned. Complies with all policies and standards. For specific duties and responsibilities, refer to documentation provided by the department during orientation. Must abide by all requirements to safely and securely maintain Protected Health Information (PHI) for our patients. Annual training, the UH Code of Conduct and UH policies and procedures are in place to address appropriate use of PHI in the workplace.