CDI Specialist
Naples, FL · On-site
$32.75 - $44/hr
... query practice brief. • Proficient in formulating queries that are appropriate, compliant and ... data into CDI software resulting in accurate metrics to meet program KPIs. • Participate in ...
CDI Specialist
Naples, FL · On-site
$32.75 - $44/hr
... query practice brief. • Proficient in formulating queries that are appropriate, compliant and ... data into CDI software resulting in accurate metrics to meet program KPIs. • Participate in ...
Query Cdi information
What is a query CDI?
Query CDI jobs typically involve working with the Clinical Data Interchange Standards Consortium (CDISC) and managing clinical data queries in research or healthcare settings. Professionals in these roles are responsible for reviewing, tracking, and resolving queries related to clinical trial data to ensure its accuracy and quality. They often collaborate with data managers, clinical research associates, and other stakeholders. Strong attention to detail, familiarity with clinical trial processes, and experience with data management systems are essential for this position.
What are some common challenges faced by a query CDI specialist when handling complex data integration projects?
As a Query CDI specialist, you may encounter challenges such as ensuring data quality and consistency when integrating information from multiple sources. Managing large volumes of data while maintaining performance and meeting strict deadlines can also be demanding. Additionally, you’ll need to collaborate closely with business analysts, developers, and stakeholders to understand requirements and resolve data discrepancies. Effective communication and attention to detail are key to overcoming these challenges and delivering reliable integration solutions.
What are the key skills and qualifications needed to thrive as a Clinical Documentation Integrity (CDI) Specialist, and why are they important?
To thrive as a Clinical Documentation Integrity (CDI) Specialist, you need a background in healthcare (often nursing or HIM), strong knowledge of medical terminology, coding, and clinical documentation requirements. Familiarity with electronic health record (EHR) systems, coding software (such as ICD-10 and DRG grouper tools), and often a CCDS or CDIP certification is typically required. Excellent communication, critical thinking, and attention to detail are key soft skills for collaborating with physicians and ensuring documentation accuracy. These competencies are crucial for improving the quality of clinical documentation, optimizing reimbursement, and supporting compliance with healthcare regulations.
What is the difference between Query Cdi vs Query Developer?
| Aspect | Query Cdi | Query Developer |
|---|---|---|
| Required Credentials | SQL certifications, data management skills | SQL certifications, programming skills |
| Work Environment | Data analysis, database management | Application development, coding |
| Employer & Industry Usage | Data-driven companies, finance, healthcare | Software companies, IT firms |
Query Cdi primarily focuses on managing and analyzing data queries within databases, often requiring data management certifications. Query Developers, on the other hand, design and develop database queries and applications, emphasizing programming skills. Both roles are common in data-centric industries but serve different functions in data handling and software development.
What are popular job titles related to Query Cdi jobs in Naples, FL?
For Query Cdi jobs in Naples, FL, the most frequently searched job titles are:
What job categories do people searching Query Cdi jobs in Naples, FL look for?
The top searched job categories for Query Cdi jobs in Naples, FL are:
What cities near Naples, FL are hiring for Query Cdi jobs?
Cities near Naples, FL with the most Query Cdi job openings:
Key responsibilities
Facilitates and obtains appropriate physician documentation to support the accuracy and integrity of patient encounters.
Reviews medical records for documentation compliance, completeness, and accuracy of inpatient encounters.
Communicates with healthcare providers and HIM staff to resolve documentation and coding discrepancies.
Job description
- DEPARTMENT: 17117 - Clinical Documentation Integrity
- LOCATION: 350 7th Street North, Naples, FL, 34102
- WORK TYPE: Full Time
- WORK SCHEDULE: 8 Hour Day
ABOUT NCH
NCH is an independent, locally governed non-profit delivering premier comprehensive care. Our healthcare system is comprised of two hospitals, an alliance of 700+ physicians, and medical facilities in dozens of locations throughout Southwest Florida that offer nationally recognized, quality health care.
NCH is transforming into an Advanced Community Healthcare System(TM) and we're proud to: Provide higher acuity care and Centers of Excellence; Offer Graduate Medical Education and fellowships; Have endowed chairs; Conduct research and participate in national clinical trials; and partner with other health market leaders, like Hospital for Special Surgery, Encompass, and ProScan.
Join our mission to help everyone live a longer, happier, healthier life. We are committed to care and believe there's always more at NCH - for you and every person we serve together. Visit nchjobs.org to learn more.
JOB SUMMARY
The Clinical Documentation Integrity Specialist (CDIS) reports to the VP of Clinical Documentation Integrity. The CDIS performs clinical documentation integrity (CDI) activities to support the accuracy, quality, and completeness of patient encounters at all inpatient NCH facilities. This role ensures that documentation practices maintain integrity to ensure coded diagnoses and procedures reflect the accuracy of the patient's clinical status and care provided.
ESSENTIAL DUTIES AND RESPONSIBILITIES
- Other duties may be assigned.
• Strategically facilitates and obtains appropriate and quality physician documentation for any clinical conditions or procedures to support the accuracy and integrity of the patient encounter and complexity of care.
• Educates members of the patient care team regarding documentation guidelines including physicians, allied health practitioners, nursing and care management as well as other ancillary staff as needed.
• Reviews concurrent medical records for documentation compliance including completeness and accuracy of each patient encounter for inpatient encounter types.
• Completes accurate and timely record review to ensure the integrity of documentation compliance.
• Recognizes opportunities for documentation improvement using strong critical thinking skills.
• Initiates/formulates CDI worksheets and clinically credible queries for inpatients, sending/presenting opportunities for improved documentation compliance to physicians, mid-level providers (including residents/fellows) following best practice guidelines aligned with AHIMA/ACDIS query practice brief.
• Proficient in formulating queries that are appropriate, compliant and effective.
• Effectively and appropriately communicates with physicians and other healthcare providers as necessary to ensure appropriate, accurate and complete clinical documentation.
• Communicates/collaborates with HIM staff (coding professionals) to resolve discrepancies with MS-DRG assignment and other coding/documentation issues.
• Completes well timed follow up case reviews on all cases with priority to aid in bridging the gap between clinical and coding terms.
• Completes accurate and concise input of data into CDI software resulting in accurate metrics to meet program KPIs.
• Participate in department and system wide meetings.
• Assumes personal responsibility for professional growth, development and continuing education to maintain a high level of proficiency.
• Spends most of the work weeks on-site at the hospital as a resource, developing relationships, providing education, participating in hospital initiatives/committees.
• Provides other duties as assigned by VP of CDI.
EDUCATION, EXPERIENCE AND QUALIFICATIONS
• Minimum of Associates Degree required, Bachelor's Degree preferred.
• Minimum 3 years of acute care hospital nursing experience required, ICU preferred.
• Minimum 3 years CDI experience with CDIP or CCDS/CCS Certification preferred.
• Licensed as a Registered Nurse (RN) in the State of Florida.
• Strong knowledge of CDI principles, inpatient coding guidelines, and quality metrics.
• Excellent analytical and problem-solving skills to identify opportunities for documentation integrity
• Effective communication and interpersonal skills to collaborate with physicians and interdisciplinary teams.
• Ability to develop and deliver educational programs tailored to clinical and administrative audiences.
• Strong organizational skills and attention to detail to manage multiple priorities and deadlines.
• Commitment to maintaining compliance with regulatory standards and corporate policies.
• Proficiency in computer use, including database and spreadsheet analysis, presentation programs, word processing, EMR(EPIC) and CDI technology.
• Onsite/Hybrid depending on department needs.