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Clinical Documentation Improvement Analyst

The Ohio State University Wexner Medical Center
Columbus, OH Full Time
POSTED ON 1/9/2025 CLOSED ON 1/25/2025

What are the responsibilities and job description for the Clinical Documentation Improvement Analyst position at The Ohio State University Wexner Medical Center?

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Job Title

Clinical Documentation Improvement Analyst

Department

James | Clinical Outcomes

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.

Minimum 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.

Additional Information

Location:

James Cancer Hospital (0375)

Position Type

Regular

Scheduled Hours

40

Shift

First Shift

Final candidates are subject to successful completion of a background check. A drug screen or physical may be required during the post offer process.

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 Ohio State University is an equal opportunity employer.

All qualified applicants will receive consideration for employment without regard to age, ancestry, color, disability, ethnicity, gender identity or expression, genetic information, HIV/AIDS status, military status, national origin, race, religion, sex, gender, sexual orientation, pregnancy, protected veteran status, or any other basis under the law.

Applicants are encouraged to complete and submit the Equal Employment Identification form.
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