Clinical Documentation Quality Analyst

The Ohio State University

3d • Remote

About The 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.

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.

Requirements

• Bachelor’s 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.
• 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

Nice To Haves

• 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.

Responsibilities

• Performing concurrent CDI reviews
• Performing second-level reviews focused on quality measures, clinical validation, and advanced work queue (WQ) management
• Supporting accurate and complete documentation to reflect the true severity of illness, risk of mortality, and quality of care provided
• Functioning as a liaison between the CDI department, coding, quality and compliance
• Following JCAHO, CMS, and third-party payor documentation guidelines and the official guidelines for assigning ICD-10 working diagnosis and procedure codes
• Completing second level review for quality measures, clinical validation, and outcomes improvement
• Providing internal education to CDI Analysts, healthcare providers, and interdisciplinary work groups
• Assisting with audits to ensure compliance and coding accuracy and identify professional development opportunities for CDI team

Benefits

• Eligible Ohio State employees receive comprehensive benefits packages, including medical, dental and vision insurance, tuition assistance for employees and their dependents, and state or alternative retirement options with competitive employer contributions.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level