CDI Quality Liaison

Overview

As a patient-focused organization, University of Utah Health exists to enhance the health and well‑being of people through patient care, research and education. Success in this mission requires a culture of collaboration, excellence, leadership, and respect. University of Utah Health seeks staff that are committed to the values of compassion, collaboration, innovation, responsibility, integrity, quality and trust that are integral to our mission.

EO/AA

This position is assigned to the Health Information Clinical Documentation Integrity (CDI) Department and acts as a catalyst for quality improvement initiatives related to clinical care documentation and coded data quality. The role audits, identifies, aggregates, reports, and educates about coded data and its impact on University of Utah Hospital clinical outcomes, patient safety, comparative data quality, outcomes measurement, and public reporting in close collaboration with Inpatient Coding and CDI Staff, Inpatient Auditing and Education, Quality and Patient Safety, CDI Physician Advisors/Chief Value Officers (CVO), Hospital Providers, other patient care staff, Health Information Department, and hospital management.

Corporate Overview:
The University of Utah is a Level 1 Trauma Center and is nationally ranked and recognized for our academic research, quality standards, and overall patient experience. Our five hospitals and eleven clinics provide excellence in comprehensive services, medical advancement, and overall patient outcomes.

• Review inpatient medical record documentation as it pertains to AHRQ, CMS, Vizient and other quality-related metrics 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 outcome measures to ensure accurate translation and outcomes reporting based on AHRQ, CMS, Vizient and other 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 the 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.

• 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 and 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…