The Wilshire Group is a renowned boutique consulting firm in Los Angeles, specializing in revenue cycle optimization and collaboration between operational and IT facets. They are seeking a Senior Health Information Management (HIM) Consultant with strong Epic experience to support hospital initiatives focused on documentation integrity and coding compliance.
Responsibilities:
- Serve as a subject matter expert for HIM operations supporting hospital initiatives
- Partner with HIM leadership, coding teams, CDI specialists, and compliance departments to evaluate and improve documentation workflows
- Lead initiatives focused on:
- Clinical Documentation Integrity (CDI)
- Coding accuracy and documentation alignment
- Deficiency management and record completion
- Release of information processes
- Documentation compliance and regulatory readiness
- HIM operational workflow improvement
- Assess current-state HIM processes and recommend improvements that support operational efficiency and compliance
- Provide Epic system guidance related to HIM workflows, ensuring system configuration and processes align with best practices
- Support initiatives related to:
- HIM operational workflow improvements
- Documentation process redesign
- Coding compliance initiatives
- Regulatory readiness
- Collaborate with clinical leadership, compliance teams, and operational stakeholders to ensure documentation supports accurate and compliant medical records
- Participate in workflow analysis, validation, testing, and go-live support when needed
- Provide knowledge transfer and mentorship to HIM teams and operational leaders
Requirements:
- 8+ years of Health Information Management experience within hospital or healthcare system environments
- Epic experience required
- Strong knowledge of HIM operations
- Strong knowledge of Clinical documentation integrity (CDI)
- Strong knowledge of Coding workflows and compliance
- Strong knowledge of Deficiency management
- Strong knowledge of Release of information
- Strong knowledge of Medical record lifecycle management
- Strong understanding of healthcare regulatory and compliance requirements
- Proven ability to analyze workflows and implement operational improvements
- Strong communication skills and ability to work with clinical, operational, and technical stakeholders
- Ability to operate independently in a consulting environment
- Active Epic certification is preferred
- RHIA or RHIT certification
- Experience supporting large hospital systems or multi-facility health systems
- Prior healthcare consulting experience
- Experience supporting Epic HIM modules or documentation workflows