CDI Consultant – Second Level Review, Part Time

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

📋 Description

• Conduct timely second-level evaluations of patient medical records

• Ensure documentation is accurate and comprehensive, reflecting the severity and complexity of patient illnesses

• Collaborate with providers and coders to guarantee that chart documentation accurately represents patient complexity

• Educate and engage with providers

• Perform concurrent and post-discharge record assessments

• Confirm that Present on Admission (POA) conditions are documented accurately within required regulatory timeframes

• Ensure documentation reflects precise safety ratings and quality-of-care scores, including Patient Safety Indicators (PSIs)

• Participate in educational sessions and provide constructive feedback to coders, CDI Reviewers, and Hospital Quality Departments

• Execute regular standardized audits to ensure compliance with POA, Hospital-Acquired Conditions (HAC), and PSI documentation

• Monitor and analyze data for quarterly reviews of CDI and Coding team data quality

• Address issues that may impact documentation or coding quality

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

• Utilize the OIG workplan to recognize patterns in payer denials and target education and focused audits

• Implement coding, DRG, and quality-score changes that affect data quality or revenue as it relates to Case Mix Index (CMI)

• Be prepared to travel to field sites up to 15% of the time if required

⛳️ Requirements

• RN with a BSN is mandatory

• A minimum of 3 years of experience in clinical documentation

• Strong clinical training background

• Experience with Second Level Reviews

• Familiarity with Epic systems

• Experience with Solventum

• Excellent analytical skills for evaluating medical records

• Capability to utilize a PC for medical record reviews

• Proficient in Microsoft Excel, Word, and Outlook

• Effective communication skills with e4health management and clients

• Candidates for U.S.-based positions must possess legal authorization to work in the United States

• Verification of employment eligibility is required upon hiring

• Visa sponsorship is not available

• Preferred experience with Smarter Dx

• Preferred familiarity with Epic and 3M 360

🏝️ Benefits

• Competitive salary

• Comprehensive benefits package

• 401(k) plan with company matching

• Medical insurance coverage

• Dental insurance coverage

• Vision insurance coverage

• Life insurance provided

• Short-term disability insurance available

• Long-term disability insurance available

• Paid Time Off (PTO) policy

• Fully remote work arrangement