CDI Consultant

This is a fully remote position, open to applicants in United States.

📋 Description

• Conduct timely assessments of patient medical records to guarantee that documentation accurately reflects the severity and complexity of illnesses.

• Collaborate with healthcare providers and coders to ensure that documentation mirrors the complexity of patients.

• Provide education and engage with providers.

• Execute concurrent and/or potential retrospective reviews of health records.

• Identify areas for clarification and enhancement in documentation.

• Work together with providers and healthcare professionals, leveraging clinical expertise, critical thinking, and knowledge of coding and regulations.

• Adhere to customer-established protocols.

• Review designated medical records for comprehensive and precise documentation of relevant diagnoses and procedures.

• Initiate and finalize queries to accurately reflect data from inpatient or outpatient visits.

• Comply with ACDIS, AAPC, and AHIMA guidelines.

• Ensure strict confidentiality of patient information in accordance with HIPAA regulations.

• Utilize knowledge of DRG payer issues, audit risks, documentation opportunities, quality metrics, and hierarchical condition categories.

• Collaborate closely with clients, colleagues, and management to fulfill assignment requirements.

• Utilize computer software in accordance with client specifications.

• Travel to field sites may be necessary up to 15% of the time.

⛳️ Requirements

• Minimum of 3 years of experience in clinical documentation.

• Valid RN license required.

• Strong analytical abilities to assess medical records clinically.

• Proficient in using a PC for the review of medical records.

• Competency in Microsoft Office products (Excel, Word, Outlook).

• Effective communication skills with e4health management and clients.

• General familiarity and comfort with AI tools.

• Comfortable using a Mac computer.

• Full-time availability — at least 32 hours per week.

• Applicants for positions based in the U.S. must be legally authorized to work in the United States.

• Visa sponsorship is not available.

• CCDS or CDIP certification is preferred.

• A BSN, in addition to an RN license, is preferred.

• Experience with Second Level Review is preferred.

• Preference for candidates in PST or MST time zones.

🏝️ Benefits

• $2,000 sign-on bonus.

• Comprehensive benefits package.

• 401(k) plan with company matching.

• Medical insurance coverage.

• Dental insurance coverage.

• Vision insurance coverage.

• Life insurance coverage.

• Short-term disability insurance.

• Long-term disability insurance.

• Paid Time Off (PTO) policy.