CDQI Nurse Specialist - Part Time - Remote at Datavant Tallahassee, FL

CDQI Nurse Specialist - Part Time - Remote

Location: Tallahassee, FL (Remote)

Datavant is a data platform company and the world’s leader in health data exchange. Our vision is that every healthcare decision is powered by the right data, at the right time, in the right format. Our platform is powered by the largest, most diverse health data network in the U.S., enabling data to be secure, accessible and usable to inform better health decisions. Datavant is trusted by the world’s leading life sciences companies, government agencies, and those who deliver and pay for care.

Responsibilities

• Conduct timely, accurate, and complete documentation reviews for selected inpatient records, addressing inadequate or conflicting documentation.
• Collaborate with physicians and caregivers to ensure appropriate reimbursement and clinical severity for DRG‑based payer patients.
• Demonstrate understanding of complications, co‑morbidity, severity of illness, risk of mortality, case‑mix index, secondary diagnoses, and procedure impact on DRG.
• Improve coding specificity by educating physicians and caregivers on the importance of clear documentation throughout a patient’s stay.
• Follow AHA guidelines and coding clinics for accurate coding and required documentation to ensure compliance.
• Query physicians regarding missing, unclear, or conflicting health record documentation to obtain necessary details.
• Maintain daily production logs for evaluation, tracking cases reviewed, queries placed/responded, etc.
• Perform follow‑up reviews to confirm recorded points of clarification in the patient’s medical record.
• Ensure confidentiality of all files, documents, and records.
• Meet or exceed production and quality metrics.

Qualifications

• 3+ years of CDI experience.
• 3+ years of clinical experience in an academic medical center.
• Registered Nurse license, Bachelor's degree in Nursing.
• CCDS or CDIP certification required.
• Must pass a CDI skills competency assessment.
• Must be able to accommodate a minimum of 15 hours per week.

Compensation

Estimated base pay range per hour: $40–$47 USD.

Benefits and Policy

Many clients require post‑offer health screenings and proof and/or completion of vaccinations such as the flu shot, Tdap, COVID‑19, etc. Exemptions may be considered on a case‑by‑case basis for disability, medical contraindications, pregnancy or pregnancy‑related medical conditions, and/or religion.

Employment Sponsorship

This job is not eligible for employment sponsorship.

Equal Employment Opportunity

Datavant is committed to a work environment free from job discrimination. We are proud to be an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, sex, sexual orientation, gender identity, religion, national origin, disability, veteran status, or other legally protected status.