CDI Analyst

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The Clinical Documentation Improvement (CDI) Analyst provides expertise to clinical documentation process improvement and data analytics teams, oversight committees, and senior leadership in the areas of data acquisition, integration, monitoring, interpretation, and analytic design. This position is responsible for ensuring data integrity, accuracy, reliability, and interpretation of all relevant information using various applications. Effective use of multiple software tools and analytic skills are necessary to be successful in this role. This position is expected to perform analytical work with limited supervision and with full responsibility for various projects and report/data production.

MINIMUM QUALIFICATIONS:

EDUCATION, CERTIFICATION, EXPERIENCE, AND/OR LICENSURE:

1. Associates Degree  

OR 

Three (3) years clinical experience as Registered Nurse in outpatient/ambulatory or inpatient acute care setting   

OR  

Three (3) of clinical experience as Licensed Practical Nurse in  outpatient/ambulatory or inpatient acute care setting  

2.  Certification in one of the following: 

• Health Information Management with Registered Health Information Technician (RHIT) OR Registered Health Information Administrator (RHIA) through The American Health Information Management Association. 

• Certified Coding Specialist (CCS) through The American Health Information Management Association.  

• Certified Professional Coder (CPC) through The American Academy of Professional Coders.  

• Certified Risk Adjustment Coder (CRC) through The American Academy of Professional Coders.  

• Certified Clinical Documentation Specialist (CCDS) OR Certified Clinical Documentation Specialist- Outpatient (CCDS-O) through the Association of Clinical Documentation Integrity Specialists.  

• Certified Documentation Integrity Practitioner (CDIP) through the Association of Clinical Documentation Integrity Specialists.  

• Certified Documentation Expert Inpatient (CDEI) or Certified Documentation Expert Outpatient (CDEO) through The American Academy of Professional Coders.  

EXPERIENCE:  

1. Two (2) years CDI experience  

2. Three (3) years of experience with various computer applications including Excel, 3M360, Epic, Word, Tableau, and Power Point etc.  

PREFERRED QUALIFICATIONS:

EXPERIENCE:

1. Experience with data extraction.

2. Experience with the Development and maintenance of metrics and communication dashboards.

3. Experience in Revenue Cycle.

CORE DUTIES AND RESPONSIBILITIES: The statements described here are intended to describe the general nature of work being performed by people assigned to this position.  They are not intended to be constructed as an all-inclusive list of all responsibilities and duties.  Other duties may be assigned.

1. Critical Thinking: Effectively analyzes problems and develops well-reasoned solutions; recognizes and validates assumptions, collects information, and draws meaningful inferences. Evaluates different technologies and software functionalities with a goal of improving the delivery of information to leadership.

2. Systems Thinking: Understands and effectively works within WVU medicine and in association with its vendors. Works effectively within the constraints of the System’s formal and informal structures. Manages and escalates incidents and problems to vendors or collaborates with organizational departments for resolution.

3. Decision Making: Makes decisions based on best information at the time; explains decisions to others and honors them; acts in a timely fashion; demonstrates flexibility and creativity in finding solutions.

4. Communication: Relates to others in an honest, straightforward fashion; listens with a sincere attempt to understand and values divergent points of view; open to new ideas and embraces change.

5. Serves as a lead member of process improvement teams. Participates as a team member to test applications; prepares system test scripts, uses automated software for testing, performs full range of testing methods, emphasizing ability of the system to meet functional and usability requirements. Responsible for collaboration with IT.

6. Provides expertise in analytics, requirements, outcomes, interpretation, and development.

7. Sets up and maintains data bases and workflows. Provides drill down analytics and validation of data.

8. Provides consultation to team members, providers, and leadership regarding the interpretation of data.

9. Assists in CDI Staffing as needed.

10. Contributes to performance monitoring and capacity planning for assigned applications.

11. Uses analytical skills to complete end-user requests for support/changes to existing applications and interfaces as appropriate.

12. Trouble shoots problems, identifies changes needed to resolve problems or satisfy requests, and reports status of work to end-user. Performs department and user needs analysis for the purpose of daily system operational support including problem resolution and potential application changes.

13. Builds, tests, and maintains reports. Identifies opportunities to enhance analysis and reporting data.

PHYSICAL REQUIREMENTS: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

1. Must be able to sit for long periods of time. Must have visual and hearing acuity within the normal range.  Must have manual dexterity needed to operate computer and office equipment. Must be Able to lift, push or pull 10-20 pounds.

WORKING ENVIRONMENT: The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

1. Standard office environment.  Visual strain may be encountered in viewing computer screens, spreadsheets, and other written material. May require travel.

SKILLS AND ABILITIES:

1. Strong understanding of computer applications; Excel, 3M360, Epic, Word, and Power Point.

2. Strong organization and presentation skills.

3. Must possess excellent written and verbal communication skills, as well as interpersonal skills necessary to communicate effectively.

4. Must possess the knowledge of related provider healthcare compliance, revenue cycle operations, and auditing techniques required.

5. Must possess the ability to mentor, educate and train others. Must ensure quality and productivity standards.

6. Must be able to handle high stress and critical situations in a calm and professional manner

7. Must be able to concentrate and maintain accuracy during constant interruptions.

8. Must possess independent decision-making ability.

9. Must possess the ability to prioritize job duties.

10. Must be able to adapt to changes in the workplace and work assignments.

11. Must possess organizational and time management skills.

12. Must possess the knowledge of anatomy, physiology, and medical terminology.

13. Must possess analytical and problem-solving skills. 14. Must be proficient in office software programs, including medical records.

15. Must possess the ability to analyze complex data and reports.

Additional Job Description:

Scheduled Weekly Hours:

40

Shift:

Exempt/Non-Exempt:

United States of America (Exempt)

Company:

SYSTEM West Virginia University Health System

Cost Center:

538 SYSTEM HIM CDI