CDI Consultant

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

📋 Description

• Conduct timely evaluations of patient medical records to guarantee accurate and comprehensive documentation that reflects the severity and complexity of illnesses.

• Collaborate with healthcare providers and coders to ensure that chart documentation accurately portrays patient complexity.

• Provide education and engage with healthcare providers.

• Perform concurrent and post-discharge record reviews to assess severity of illness and risk of mortality.

• Ensure that Present on Admission conditions are documented accurately within the specified regulatory timeframes.

• Verify that documentation accurately reflects safety ratings and quality-of-care scores, including PSIs.

• Participate in educational sessions and offer constructive feedback to coders, CDI reviewers, and hospital quality departments.

• Conduct regular audits using standardized methodologies for POA, HAC, and PSI documentation compliance.

• Monitor and analyze data for quarterly CDI and coding team data-quality assessments.

• Raise concerns that may impact documentation or coding quality.

• Ensure that coding and DRG assignments adhere to CMS rules, regulations, and current coding conventions.

• Utilize the OIG work plan to identify patterns of payer denials and direct education and focused audits accordingly.

• Implement coding, DRG, and quality-score adjustments that affect data quality or revenue through Case Mix Index.

⛳️ Requirements

• Registered Nurse (RN) is required.

• Experience with Iodine and Epic is required.

• A minimum of 3 years in clinical documentation is required.

• Strong clinical training experience is essential.

• APR experience is a requirement.

• At least 3 years of acute care experience is required.

• Availability to work from 7:30 am to 3:30 pm ET is required.

• Strong analytical skills to evaluate the medical record clinically.

• Proficiency in using a PC for medical record reviews is necessary.

• Competence in Microsoft Excel, Word, and Outlook is required.

• Effective communication skills with e4health management and clients are essential.

• Willingness to undergo testing and interviews with clients is necessary.

• CCDS certification is preferred.

• BSN is preferred.

• Experience with Smarter Dx is preferred.

• Knowledge of Epic and 3M 360 is preferred.

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

• Visa sponsorship is not available.

🏝️ Benefits

• $2,000 sign-on bonus.

• 401(k) plan with company matching.

• Medical insurance coverage.

• Dental insurance coverage.

• Vision insurance coverage.

• Life insurance policy.

• Short-term disability insurance.

• Long-term disability insurance.

• Paid Time Off (PTO) policy.

• Fully remote work arrangement.