Quality Clinical Documentation Integrity (CDI) Registered Nurse/Assistant Nurse Manager

Major duties include but are not limited to: Clinical Documentation Integrity (CDI) - 60% Conducts inpatient and outpatient CDI reviews to ensure documentation reflects patient severity, clinical complexity, and ICD-10 coding specificity. Reviews high-impact diagnoses affecting MS-DRG assignment, SOI/ROM, and risk adjustment. Participates in mortality reviews to identify documentation gaps and collaborates with providers to improve clarity. Applies VHA Coding Guidelines, CMS Guidelines, ICD-10 Official Coding Guidelines, and compliant query standards.¿ Supports IRR by reviewing cases, validating accuracy, and assisting with corrective actions. Provides CDI education and documentation guidance to clinical staff. Supports outpatient CDI efforts including HCC accuracy, RAF scoring, and chronic disease documentation. Analyzes CDI data trends and audit outcomes to identify performance improvement opportunities. Administrative, Operational, and Leadership Support - 40% Provides supervisory s