Responsible for concurrent review of inpatient medical records to identify opportunities for improving the quality of medical record documentation.
Identify cases where diagnoses and procedures are either absent, not stated in appropriate terminology, or not appropriately recorded.
Confer with the appropriate caregiver on the additional documentation that may be required.
Achieve a complete medical record by the time of patient discharge to ensure quality documentation that reflects the patients' diagnoses, treatments, and severity of illness.
Facilitate and enhance the coding and DRG assignment process.
Support initiatives to improve the quality of documentation by all caregivers within the Ohio State University Health System.

Bachelor's degree in Nursing or equivalent experience.
2 years of relevant experience required.
2-4 years of relevant experience preferred in acute care medical or surgical experience required.
Intensive Care Unit preferred.
A Bachelors degree in Health Information Management with credentials of RHIA, RHIT, CCS, CCDS, or CDIP with clinical knowledge.
2 years of relevant experience required.
2-4 years of relevant experience in inpatient coding/CDI will be considered in lieu of an RN.
Current Registered Nurse License in the State of practice.
Or Registered Health Information Administrator (RHIA), Registered Health Information Technologist (RHIT), Certified Coding Specialist (CCS), or Certified Clinical Documentation Specialist (CCDS) or Certified Documentation Improvement Professional (CDIP) could be considered.

Medical, dental and vision coverage, with Ohio State paying a significant portion of the cost.
Paid time off, including sick and vacation time and 11 holidays.
State retirement plan or an alternative retirement plan, both with generous employer contributions.

Clinical Documentation Improvement Analyst 2 – Medical Information Management

About this role