RN CDI Quality Management Specialist

About the job

Kootenai Health in Coeur d'Alene is hiring a full-time RN CDI quality management specialist for Transitional Care Services - Clinical Documentation, working days, with remote work possible. The specialist reviews provider documentation in medical records after the fact to make it more complete and accurate, focusing on quality measures.

Kootenai Health serves patients across northern Idaho and the Inland Northwest.

What you'll do

• Review inpatient coding and medical records after discharge to find documentation gaps and coding opportunities in areas like mortality, readmission, risk adjustment, PSI, HAC, hospice and clinical validity, with an eye to preventing denials
• Explain concepts such as MCC/CC, severity of illness, risk of mortality, case mix index, HCC and DRG calculation to CDI staff, providers and care teams
• Write compliant queries asking providers to clarify their documentation
• Teach clinicians and staff about query workflows, documentation improvement basics, coding guidelines and quality concepts
• Use software to collect, track and report outcomes, analyze the data and recommend process improvements to leadership
• Join quality committees, help precept new CDS staff, and back up concurrent, retrospective and denial reviews
• Work with physician advisors, coding and billing leaders and other departments, independently with guidance from CDI leadership

What you need

• Bachelor's degree in nursing
• An Idaho RN license, a pending license shown by temporary licensure, or an RN license from a multistate compact state before your start date
• At least 5 years of acute care clinical experience
• 3 years of experience as a clinical documentation specialist
• Certification as a Certified Clinical Documentation Specialist (CCDS) or Certified Documentation Improvement Practitioner (CDIP)
• A background in inpatient coding
• Able to lift and move up to 20 pounds, stoop or crouch, reach above and below shoulder height, and stand or sit for long periods

Preferred

• Master's degree
• Quality or leadership background

Schedule

• Day shift, full-time
• 80 hours per two-week pay period
• Remote eligible

Benefits

• Medical coverage, with fully employer-paid options for eligible full-time staff, starting the first of the month after 30 days
• Dental, vision, life and pet insurance, plus telemedicine and wellbeing resources
• Tuition assistance after 90 days
• Pre-tax and Roth retirement plans with an employer match of 3% to 6%
• A wellness program with coaching, financial wellness help and free or discounted fitness centers and apps
• PerkSpot employee discounts and a referral bonus program