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Query Cdi Jobs in Roxana, IL (NOW HIRING)

Query Cdi information

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 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 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?

AspectQuery CdiQuery Developer
Required CredentialsSQL certifications, data management skillsSQL certifications, programming skills
Work EnvironmentData analysis, database managementApplication development, coding
Employer & Industry UsageData-driven companies, finance, healthcareSoftware 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 job categories do people searching Query Cdi jobs in Roxana, IL look for? The top searched job categories for Query Cdi jobs in Roxana, IL are:
What cities near Roxana, IL are hiring for Query Cdi jobs? Cities near Roxana, IL with the most Query Cdi job openings:

Clinical Documentation Quality Coordinator

BJC HealthCare

Saint Louis, MO • On-site

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 6 days ago


BJC Healthcare rating

7.6

Company rating: 7.6 out of 10

Based on 228 frontline employees who took The Breakroom Quiz

188th of 887 rated healthcare providers


Job description

Additional Information About the Role

BJC HealthCare is seeking a Clinical Documentation Quality Coordinator to join our team!


Overview

Barnes-Jewish Hospital at Washington University Medical Center is the largest hospital in Missouri and is ranked as one of the nation's top hospitals by U.S. News & World Report. Barnes-Jewish Hospital's staff is composed of full-time academic faculty and community physicians of Washington University School of Medicine, supported by a house staff of residents, interns, fellows and other medical professionals. Recognizing its excellence in nursing care, Barnes-Jewish Hospital was the first adult hospital in Missouri to be certified as a Magnet Hospital by the American Nurses Credentialing Center.


Preferred Qualifications

Role Purpose

The Clinical Documentation Quality Coordinator (CDQC) is an advanced Clinical Documentation Specialist (CDS) at the enterprise level who uses extensive Clinical Documentation Improvement (CDI) experience to perform second level reviews of complex clinical cases and focused reviews of target case populations prior to final coding and billing across BJC. The CDQC responds to concurrent review requests from CDSs across the system, provides guidance to CDSs and coders to reconcile DRG mismatches, approves the withdrawal of queries, and escalates unanswered queries to Physician Champions. Drawing on his/her advanced CDI knowledge, the CDQC regularly analyzes data and reports to identify hospital/enterprise trends, areas of opportunity and provides education to facility-based CDSs and physicians based on this analysis. This position also performs focused second level reviews in mortality reviews, PSI reviews, and other identified projects indicated through data analysis.

Responsibilities

  • Reviews clinical documentation to facilitate the accurate representation of the severity of illness, expected risk of mortality, and complexity of care by improving the quality of the physician's clinical documentation; identifies high impact cases and risk areas and performs second level reviews for additional opportunities on complex cases; performs post-discharge, pre-bill reviews of target case populations; queries physicians for additional documentation; validates the appropriateness of coder (CDC I, I & III) requests; responds to Coding Quality Coordinators (CQCs) requests for review from a clinical perspective; assists with query escalation to the Physician Champions.
  • Demonstrates a thorough understanding of the MS-DRG system, CCs/MCCs, impact on quality, and CMI as well as ICD-10 coding systems and the guidelines related to clinical documentation improvement; serves as a resource for the Clinical Documentation Specialist (CDS) team; utilizes hospital coding code set, policies and procedures, federal and state coding reimbursement guidelines, and the Coding Clinic Guidelines to assign work; reviews patient records throughout hospitalization that have been identified as focus DRG by regulatory agencies; initiates physician interaction when abnormal ancillary test findings, ambiguous, missing or conflicting information is in the medical record.
  • Leads provider engagement, relationship establishment and maintenance for shared accountability related to enterprise CDI and documentation improvement efforts, with all providers across the enterprise.
  • Leads enterprise functional teams for educations, standard queries, standard process & technology, analytics, etc.; acts as a consultant to quality managers, management team, medical staff and health care staff regarding core measure performance and clinical documentation opportunities; leads and manages content development and presentation to key healthcare providers, education resulting from the analysis of clinical and financial information.
  • Establishes enterprise standards; identifies enterprise trends, variances, deficiencies, and problems utilizing aggregated data and information as part of the integrated clinical documentation improvement program; conducts provider and group level CDI data trend analysis, identifies issues and proposes solutions to leadership.
  • Minimum Requirements

    Education

  • Bachelor's Degree
  • - Nursing

    Experience

  • 5-10 years
  • Preferred Requirements

    Education

  • Master's Degree
  • Licenses & Certifications

  • Cert Clinical Documentation
  • Cert Doc Improve Practitioner

  • Benefits and Legal Statement

    BJC Total Rewards

    At BJC we're committed to providing you and your family with benefits and resources to help you manage your physical, emotional, social and financial well-being.

    • Comprehensive medical, dental, vison, life insurance, and legal services available first day of the month after hire date
    • Disability insurance* paid for by BJC
    • Annual 4% BJC Automatic Retirement Contribution
    • 401(k) plan with BJC match
    • Tuition Assistance available on first day
    • BJC Institute for Learning and Development
    • Health Care and Dependent Care Flexible Spending Accounts
    • Paid Time Off benefit combines vacation, sick days, holidays and personal time
    • Adoption assistance

    To learn more, go to our Benefits Summary.

    *Not all benefits apply to all jobs

    The above information on this description has been designed to indicate the general nature and level of work performed by employees in this position. It is not designed to contain or be interpreted as an exhaustive list of all responsibilities, duties and qualifications required of employees assigned to this job. Equal Opportunity Employer

    Qualifications:

    Role Purpose

    The Clinical Documentation Quality Coordinator (CDQC) is an advanced Clinical Documentation Specialist (CDS) at the enterprise level who uses extensive Clinical Documentation Improvement (CDI) experience to perform second level reviews of complex clinical cases and focused reviews of target case populations prior to final coding and billing across BJC. The CDQC responds to concurrent review requests from CDSs across the system, provides guidance to CDSs and coders to reconcile DRG mismatches, approves the withdrawal of queries, and escalates unanswered queries to Physician Champions. Drawing on his/her advanced CDI knowledge, the CDQC regularly analyzes data and reports to identify hospital/enterprise trends, areas of opportunity and provides education to facility-based CDSs and physicians based on this analysis. This position also performs focused second level reviews in mortality reviews, PSI reviews, and other identified projects indicated through data analysis.

    Responsibilities

  • Reviews clinical documentation to facilitate the accurate representation of the severity of illness, expected risk of mortality, and complexity of care by improving the quality of the physician's clinical documentation; identifies high impact cases and risk areas and performs second level reviews for additional opportunities on complex cases; performs post-discharge, pre-bill reviews of target case populations; queries physicians for additional documentation; validates the appropriateness of coder (CDC I, I & III) requests; responds to Coding Quality Coordinators (CQCs) requests for review from a clinical perspective; assists with query escalation to the Physician Champions.
  • Demonstrates a thorough understanding of the MS-DRG system, CCs/MCCs, impact on quality, and CMI as well as ICD-10 coding systems and the guidelines related to clinical documentation improvement; serves as a resource for the Clinical Documentation Specialist (CDS) team; utilizes hospital coding code set, policies and procedures, federal and state coding reimbursement guidelines, and the Coding Clinic Guidelines to assign work; reviews patient records throughout hospitalization that have been identified as focus DRG by regulatory agencies; initiates physician interaction when abnormal ancillary test findings, ambiguous, missing or conflicting information is in the medical record.
  • Leads provider engagement, relationship establishment and maintenance for shared accountability related to enterprise CDI and documentation improvement efforts, with all providers across the enterprise.
  • Leads enterprise functional teams for educations, standard queries, standard process & technology, analytics, etc.; acts as a consultant to quality managers, management team, medical staff and health care staff regarding core measure performance and clinical documentation opportunities; leads and manages content development and presentation to key healthcare providers, education resulting from the analysis of clinical and financial information.
  • Establishes enterprise standards; identifies enterprise trends, variances, deficiencies, and problems utilizing aggregated data and information as part of the integrated clinical documentation improvement program; conducts provider and group level CDI data trend analysis, identifies issues and proposes solutions to leadership.
  • Minimum Requirements

    Education

  • Bachelor's Degree
  • - Nursing

    Experience

  • 5-10 years
  • Preferred Requirements

    Education

  • Master's Degree
  • Licenses & Certifications

  • Cert Clinical Documentation
  • Cert Doc Improve Practitioner
  • Education:UNAVAILABLEEmployment Type: FULL_TIME

    What BJC Healthcare employees say

    Pay

    Benefits

    Hours and flexibility

    Workplace

    Get the full story on Breakroom


    BJC Healthcare logo

    About BJC Healthcare

    Sourced by ZipRecruiter

    BJC Healthcare, situated in Saint Louis, MO, US, is one of the largest healthcare organizations in the United States. Launched in 1993, BJC encompasses 15 hospitals and multiple health service organizations covering the metropolitan St. Louis area, mid-Missouri and Southern Illinois. This healthcare titan's services cover a vast field, from community health and wellness, to pediatric care, to advanced specialty care. BJC is well-known for its two nationally recognized hospitals, Barnes-Jewish Hospital and St. Louis Children's Hospital, both affiliated with Washington University School of Medicine. Its mission revolves around improving the health and well-being of the communities it serves through leadership, education, innovation, and excellence in medicine.

    Industry

    Health care and social assistance

    Company size

    10,000+ Employees

    Headquarters location

    Saint Louis, MO, US