[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.

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.
• 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.

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.