Review medical records as assigned for complete and accurate documentation of all relevant diagnoses and procedures
Providing ad-hoc support to Customer leadership regarding current CDI processes and practice not limited to attending customer meetings and sharing insights via CDI metrics
Identify missed documentation opportunities within medical records as previously reviewed or not reviewed by other Clinical Documentation Integrity Specialist
Evaluate queries from a compliance perspective to determine if there are any areas of risk, using ACDIS/AHIMA Practice Brief as the standard
Assess adherence to Customer specific CDI processes/procedures
Adhere to guidelines as set forth by ACDIS, AAPC, and AHIMA
Demonstrate understanding of the business of healthcare: MS and APR DRG payer issues, audit risks, documentation opportunities, POA, quality metrics, hierarchical condition categories, and various risk adjustment methodologies
Work closely with the Customer, co-workers, and management to meet the specific needs of each assignment in alignment with core values
Effectively utilize computer software based on the specific Customer requirements
Provide constructive feedback to other CDI Auditors
Maintain strict confidentiality of all patient information in accordance with HIPAA

Candidate must possess current RN license
3+ years of clinical documentation experience required with an acute care facility required
3+ years of consulting experience
2+ years of CDI auditing and/or second level review experience
Solventum 360 reporting experience required
Thorough understanding of both MS and APR DRG methodologies and Compliant Query Practices as outlined by ACDIS/AHIMA
Strong analytical skills to clinically evaluate the medical record
Ability to independently use multiple computer applications for medical record review along with proficiency utilizing Microsoft products (Excel, Word, Outlook)
Ability to communicate effectively with e4health management and Customers
Proficiency with ICD-10-CM and ICD-10-PCS

Senior Consultant

Key skills