Managing Consultant – Clinical Documentation Integrity, Healthcare

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

📋 Description

• Collaborate closely with the client's CDI team, providing support in classroom education and mentoring.

• Ensure the effective transfer of CDI best practices from the consulting team to the client team.

• Facilitate precise documentation concerning severity of illness (SOI) and quality within medical records.

• Engage with physicians, health information management professionals, coding specialists, and nursing staff.

• Exhibit comprehensive knowledge of clinical documentation requirements, coding guidelines, and workflows relevant to both inpatient and outpatient/physician settings.

• Perform thorough inpatient medical record reviews for specified payer populations upon admission and throughout the hospitalization period.

• Act as an educational resource for client CDI teams through classroom instruction, practical teaching, and ongoing mentorship.

• Create and present training sessions for physicians, nurses, coding professionals, and ancillary staff focused on documentation best practices.

• Assess clinical information to pinpoint documentation gaps concerning SOI, POA, MS-DRG, APR-DRG, PSI, and quality measures.

• Develop credible and compliant documentation clarifications.

• Work in tandem with coding teams to ensure the accuracy and completeness of documentation and diagnoses.

• Provide support to clinical staff through regular interaction and coaching.

• Contribute high-quality input for client deliverables and support expert reports.

• Offer interim CDS support as necessary.

• Assist in the creation of CDI and HIM training tools, methodologies, and educational resources.

• Exhibit leadership, manage multiple projects, and contribute to business development and staff development efforts.

• Travel regularly (25%) based on project requirements and client expectations.

⛳️ Requirements

• Bachelor’s degree in a relevant discipline preferred (RN, BSN, RHIA, RHIT, HIM, or similar).

• A minimum of 4-8 years of experience as a CDI specialist, inpatient coder, physician coder, or CDI consultant (or a combination thereof) is required.

• Prior consulting experience is highly preferred.

• Experience across various specialties and care settings; exposure to academic medical centers is strongly preferred.

• Previous inpatient coding experience (ICD10CM/PCS); outpatient/physician coding is a significant plus.

• In-depth knowledge of documentation, coding, and compliance regulations.

• Strong understanding of DRG, MSDRG, APRDRG, and HCC methodologies.

• A desire to advance within the CDI consulting field while collaborating with other IHS service lines is essential.

• A robust ability and enthusiasm for teaching, mentoring, and providing education to clients and internal teams.

• Current CCDS, CCS, or CDIP certification (or the willingness to obtain one) is required.

• RHIA, RHIT, CRC, CPC, or other coding credentials are highly desirable.

• Experience with EMRs such as Epic, Meditech, Cerner, 3M 360, etc.

• Capability to translate clinical and coding concepts into concise, actionable educational content.

• Excellent critical thinking, communication, presentation, and analytical abilities.

• Strong proficiency in MS Office (Word, PowerPoint, Excel, Outlook).

• Exceptional time management skills and the ability to juggle multiple priorities.

• A proactive self-starter with the capacity to operate effectively in a dynamic, rapidly changing consulting environment.

• Candidates must be able to provide verification of their legal right to work in the United States, without company sponsorship.

🏝️ Benefits

• Competitive salary and performance-based bonuses.

• Comprehensive health, dental, and vision insurance.

• Retirement savings plan with company match.

• Opportunities for professional development and continuing education.

• Flexible working hours and remote work options.