About this role

Apply strong understanding of clinical documentation and care delivery workflows.
Conduct comprehensive inpatient medical record reviews for identified payer populations.
Serve as an educational resource to client CDI teams.
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.
Work collaboratively with coding teams to ensure accuracy and completeness of documentation and diagnoses.

Bachelor’s degree in a related discipline preferred (RN, BSN, RHIA, RHIT, HIM, or similar).
2-5 years of consulting experience with an RN or clinical background is required.
RNs without consulting experience will not be considered.
Experience working in an academic medical center preferred.
Current CCDS, CCS, or CDIP certification, or willingness and ability to obtain one, is required.
Strong understanding of DRG, MS‑DRG, APR‑DRG, and HCC methodologies.
Experience using EMRs such as Epic, Meditech, Cerner, 3M 360, etc.
Strong proficiency in MS Office (Word, PowerPoint, Excel, Outlook).

Consultant – Clinical Documentation Integrity, Healthcare

Key skills