Managing Consultant – Clinical Documentation Integrity, Healthcare
Job Description:
• Demonstrate extensive knowledge of clinical documentation requirements, coding guidelines, and workflows applicable to inpatient and outpatient/physician settings
• Conduct comprehensive inpatient medical record reviews for identified payer populations upon admission and throughout hospitalization
• Serve as an educational resource to client CDI teams, delivering classroom education, hands-on teaching, and ongoing mentoring
• Develop and deliver training to physicians, nurses, coding professionals, and ancillary staff on documentation best practices
• Analyze clinical information to identify gaps in documentation related to SOI, POA, MS-DRG, APR-DRG, PSI, and quality measures
• Formulate credible and compliant documentation clarifications
• Work collaboratively with coding teams to ensure accuracy and completeness of documentation and diagnoses
• Support clinical staff in understanding documentation needs through frequent interaction and coaching
• Provide high-quality input for client deliverables and contribute to expert reports
• Provide interim CDS support as needed
• Assist in developing CDI and HIM training tools, methodologies, and education materials
Requirements:
• Bachelor’s degree in a related discipline preferred (RN, BSN, RHIA, RHIT, HIM, or similar)
• 4-8 years of experience as a CDI specialist, inpatient coder, physician coder, or CDI consultant (or a blend) is required
• Prior consulting experience is highly preferred
• Experience across multiple specialties and care settings; academic medical center exposure strongly preferred
• Prior inpatient coding experience (ICD10CM/PCS); outpatient/physician coding a strong plus
• Deep knowledge of documentation, coding, and compliance regulations
• Strong understanding of DRG, MSDRG, APRDRG, and HCC methodologies
• Desire to grow within the CDI consulting space while cross-collaborating with other IHS service lines is necessary
• Strong ability and enthusiasm for teaching, mentoring, and delivering education to clients and internal teams
• Current CCDS, CCS, or CDIP certification (or willingness to obtain) is required
• RHIA, RHIT, CRC, CPC, or other coding credentials are highly preferred
• Experience using EMRs such as Epic, Meditech, Cerner, 3M 360, etc.
• Ability to translate clinical and coding concepts into clear, actionable education
• Excellent critical thinking, communication, presentation, and analytical skills
• Strong proficiency in MS Office (Word, PowerPoint, Excel, Outlook)
• Excellent time management skills and ability to balance multiple priorities
• A self‑starter with the ability to work effectively in an ambiguous, rapidly evolving consulting environment
Benefits:
• Health insurance
• Professional development opportunities
Apply tot his job
Apply To this Job
• Demonstrate extensive knowledge of clinical documentation requirements, coding guidelines, and workflows applicable to inpatient and outpatient/physician settings
• Conduct comprehensive inpatient medical record reviews for identified payer populations upon admission and throughout hospitalization
• Serve as an educational resource to client CDI teams, delivering classroom education, hands-on teaching, and ongoing mentoring
• Develop and deliver training to physicians, nurses, coding professionals, and ancillary staff on documentation best practices
• Analyze clinical information to identify gaps in documentation related to SOI, POA, MS-DRG, APR-DRG, PSI, and quality measures
• Formulate credible and compliant documentation clarifications
• Work collaboratively with coding teams to ensure accuracy and completeness of documentation and diagnoses
• Support clinical staff in understanding documentation needs through frequent interaction and coaching
• Provide high-quality input for client deliverables and contribute to expert reports
• Provide interim CDS support as needed
• Assist in developing CDI and HIM training tools, methodologies, and education materials
Requirements:
• Bachelor’s degree in a related discipline preferred (RN, BSN, RHIA, RHIT, HIM, or similar)
• 4-8 years of experience as a CDI specialist, inpatient coder, physician coder, or CDI consultant (or a blend) is required
• Prior consulting experience is highly preferred
• Experience across multiple specialties and care settings; academic medical center exposure strongly preferred
• Prior inpatient coding experience (ICD10CM/PCS); outpatient/physician coding a strong plus
• Deep knowledge of documentation, coding, and compliance regulations
• Strong understanding of DRG, MSDRG, APRDRG, and HCC methodologies
• Desire to grow within the CDI consulting space while cross-collaborating with other IHS service lines is necessary
• Strong ability and enthusiasm for teaching, mentoring, and delivering education to clients and internal teams
• Current CCDS, CCS, or CDIP certification (or willingness to obtain) is required
• RHIA, RHIT, CRC, CPC, or other coding credentials are highly preferred
• Experience using EMRs such as Epic, Meditech, Cerner, 3M 360, etc.
• Ability to translate clinical and coding concepts into clear, actionable education
• Excellent critical thinking, communication, presentation, and analytical skills
• Strong proficiency in MS Office (Word, PowerPoint, Excel, Outlook)
• Excellent time management skills and ability to balance multiple priorities
• A self‑starter with the ability to work effectively in an ambiguous, rapidly evolving consulting environment
Benefits:
• Health insurance
• Professional development opportunities
Apply tot his job
Apply To this Job