[Hiring] RN Clinical Documentation Specialist Quality @Froedtert

Role Description

The RN Second-Level CDI & Quality Reviewer is a senior-level clinical documentation professional responsible for performing in-depth, concurrent and retrospective reviews of medical records to ensure accurate documentation that supports correct Diagnosis-Related Group (DRG) assignment and other quality-based outcomes. This position works collaboratively with CDI, coding, quality, and provider teams to minimize preventable quality flags and improve overall documentation quality.

• Validates query appropriateness and documentation practices
• Analyzes Patient Safety Indicators (PSIs), Hospital-Acquired Conditions (HACs), and other publicly reported hospital quality metrics

Qualifications

• A minimum of 5 years of acute care experience
• 3 years of experience in CDI and/or inpatient quality/coding review
• Experience working with PSI/HAC analytics or risk adjustment tools (e.g., 3M, Vizient, Midas, Epic SlicerDicer)
• Experience in audit or quality departments in acute care settings
• Bachelor’s degree in nursing or foreign trained medical graduate is required
• In lieu of BSN, an Associate’s degree in nursing and a Bachelor’s in a relevant field may be substituted
• Master’s degree is preferred
• Current state of WI Registered Nurse license or current license from a participating state in the Nurse Licensure Compact
• Advanced certification related to CDI (CCDS, CDIP, or CCS) is required
• CCS or RHIA credential a plus

Requirements

• Demonstrated expertise in clinical documentation standards, MS-DRG/APR-DRG methodology, and AHRQ PSI/HAC methodologies
• Familiarity with CMS quality programs (e.g., Hospital Compare, STAR ratings, IQR, Value-Based Purchasing)
• Strong analytical, communication, and critical thinking skills

Benefits

• Pay is expected to be between: $38.92 - $60.33 (hourly)
• Paid time off
• Growth opportunity - Career Pathways & Career Tuition Assistance, CEU opportunities
• Academic Partnership with the Medical College of Wisconsin
• Referral bonuses
• Retirement plan - 403b
• Medical, Dental, Vision, Life Insurance, Short & Long Term Disability, Free Workplace Clinics
• Employee Assistance Programs, Adoption Assistance, Healthy Contributions, Care@Work, Moving Assistance
• Discounts on gym memberships, travel and other work life benefits available