CDI Risk Adjustment Nurse
New
T
TendoHealthcare analytics
Remote, United States. Candidates may be located in any one of our hub locations.Full-TimeSenior
SalaryBase Salary Range $90,000 - $110,000
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Job Details
- Experience
- 6+ years of CDI/QDI experience; 6+ years of acute-care nursing experience.
Requirements
- Have 6+ years of CDI/QDI experience.
- Have 6+ years of acute-care nursing experience.
- Hold an active RN license in good standing.
- Hold CCDS certification.
- Have Epic experience.
- Have working knowledge of HCCs, Elixhauser comorbidities, and quality risk adjustment methodology.
- Have direct experience communicating and educating physicians and APPs on documentation opportunities.
- Be able to work independently and manage a queue with minimal oversight.
- Have excellent written and verbal communication skills.
Responsibilities
- Conduct QDI review of assigned inpatient cases and identify clinically supported documentation opportunities in real time.
- Develop and follow up on compliant, physician-facing documentation queries.
- Communicate directly with physicians and APPs about documentation and quality risk adjustment opportunities.
- Manage and prioritize an assigned daily review queue to meet turnaround expectations.
- Participate in provider education activities related to clinical documentation, risk adjustment, and quality outcomes.
- Contribute to reviewer calibration and quality assurance activities.
- Support customer-specific workflows and initiatives as new health system partners onboard.
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