University of Utah Health · 12 hours ago
CDI Quality Liaison
University of Utah Health is a patient-focused organization dedicated to enhancing health and well-being through patient care, research, and education. The CDI Quality Liaison will lead quality improvement initiatives related to clinical care documentation and coded data quality, collaborating with various departments to ensure accurate reporting and improve patient outcomes.
Health CareHigher EducationTechnical SupportTraining
Responsibilities
Review inpatient medical record documentation as it pertains to AHRQ, CMS, Vizient and other quality related metric to identify documentation gaps that may not accurately translate to ICD-10 classification
Seek clarification and resolution with physicians when gaps are identified
Audit ICD-10 coded data as it pertains to quality related outcomes measures to ensure accurate translation and outcomes reporting based on AHRQ, CMS, Vizient and other quality related metrics. Seek clarification and resolution with coding/CDI when gaps are identified
Manage and audit encounters via internal systems for identification of fallout cases in areas of high risk or opportunity for improvement
Perform 100% pre-bill review for all encounters related to mortality and/or Patient Safety Indicator (PSI), Hospital Acquired Condition (HAC), and/or Potentially Preventable Complication (PPC)
Collaborate with Coding / CDI and Quality & Patient Safety to bridge the gap between the regulations and guidance applicable to both specialties
Analyze various mortality and risk models used to assess quality reporting measures. Identify new annual measures that will impact outcomes reporting, and identify gaps or trends that may need improvement
Assist with transformation of facts into actionable data to drive performance improvement initiatives, including preparation and presentation of educational material
Create and deliver reporting documents, summaries, and educational presentations related to quality audit activities
Develop and maintain effective collaborative working relationships with physicians, hospital leaders, and departments across the organization, and participate in multidisciplinary teams to support UHC mission, vision and values
Support timely, accurate and complete coded data used for measuring and reporting physician and hospital outcomes
Participate on assigned committees and/or performance improvement initiatives, as appropriate to responsibilities
Qualification
Required
Bachelor's degree in a related field, or equivalency
Minimum five (5) years of experience coding inpatient facility (HB) at Level 1 Trauma facility
Extensive knowledge of clinical care operations, protocols, and best practice
Experience working in Academic Medical Center setting
Current CCS Certification with the American Health Information Management Association (AHIMA)
Current RHIA Certification with the American Health Information Management Association (AHIMA)
Current RHIT Certification with the American Health Information Management Association (AHIMA)
Current CDIP Certification with the American Health Information Management Association (AHIMA)
Current CCDS Certification with The Association of Clinical Documentation Improvement Specialists (ACDIS)
Demonstrated proficiency of state and federal regulations, as well as national quality standard oversight organizations (AHRQ, Vizient, CMS Core Measures, etc.) relative to the dissemination and use of clinical coding comparative data
Extensive knowledge of coding conventions & use of coding nomenclature, demonstrated proficiency of ICD-10 classifications, and thorough understanding of the effect coded data has on prospective payment, outcome models, utilization and reimbursement
Comprehensive knowledge of anatomy, physiology, pathophysiology, and complex medical procedures
Excellent analytical, critical thinking, and deductive reasoning skills
Ability to quickly and accurately review patient care documentation and audit ICD-10 coded data
Demonstrated excellent interpersonal, oral and written communication skills
Demonstrated ability to foster and maintain positive, collaborative, and effective business relationships with colleagues across the organization
Ability to identify and monitor trends and opportunities for documentation improvement
Proficient use of healthcare IT systems, including Epic and 3M 360 Encompass
Proficiency with Clinical Documentation Integrity (CDI) concepts, practices, and processes
Knowledge and ability to ensure and promote consistent, quality-oriented documentation best practices
Preferred
Bachelor's degree in Nursing (BSN), MD, or related Master's degree
Company
University of Utah Health
University of Utah Health is the Intermountain West’s only academic health care system, combining excellence in patient care, the latest in medical research, and teaching to provide leading-edge medicine in a caring and personal setting.
H1B Sponsorship
University of Utah Health has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2020 (1)
Funding
Current Stage
Late StageTotal Funding
$15MKey Investors
Kahlert Foundation
2022-11-03Grant· $15M
Leadership Team
Recent News
2025-03-18
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