CDI Appeal Consultant

🕒 May 19

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e4health

501 - 1000 employees

🤝 B2B

☁️ SaaS

🤖 Artificial Intelligence

B2B • SaaS • Artificial Intelligence

e4health is a healthcare-focused services and technology firm that helps hospitals and health systems improve clinical data quality, coding accuracy, revenue integrity, and IT systems. They provide Health IT consulting, health information management (HIM), clinical documentation improvement (CDI), coding and auditing (including risk adjustment/HCC), legacy data migration and validation, interim staffing, and software and AI automation solutions. e4health serves more than 400 health systems with a mix of professional services, advisory engagements, and technology to optimize workflows, protect IT investments, and drive measurable outcomes.

📋 Description

• Reviews medical records as assigned for appeal writing • Adheres to guidelines as set forth by ACDIS, AAPC, and AHIMA • Maintains strict confidentiality of all patient information in accordance with HIPAA • Works closely with the client, co-workers and management to meet the specific needs of each assignment in alignment with e4health core values • Effectively utilizes computer software based on the specific client requirements

🎯 Requirements

• Current RN license or graduate of medical school with 5+ years of acute care experience • 3+ years of clinical appeal experience • Strong analytical skills to clinically evaluate the medical record • Ability to use a PC for medical record review along with proficiency in utilizing Microsoft products (Excel, Word, Outlook) • Ability to communicate effectively with Intellis management and clients • Cerner experience preferred

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