CDI Consultant

🕒 May 22

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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

• Provide timely reviews of patient medical records to ensure accurate and complete documentation • Work with providers and coders to ensure documentation reflects complexity of the patient • Educate and interact with providers • Ensure inpatient clinical documentation accurately reflects severity of illness (SOI) and Risk of Mortality (ROM) • Ensure Present on Admission (POA) clinical conditions are documented accurately • Participate in education sessions and feedback to coders, CDI Reviewers, and Hospital Quality Departments • Conduct regular audits to ensure compliance with POA, HACs and PSI documentation • Track and trend data for use in CDI and Coding team quarterly data quality reviews • Escalate any observed issues impacting quality of documentation or coding • Ensure compliance with CMS rules and regulations for coding and DRG assignment • Familiar with OIG workplan to determine payor denial patterns

🎯 Requirements

• RN required • Iodine experience required • 2+ years of clinical documentation experience • Strong clinical training experience • APR experience required • 3+ years of acute care experience required • Strong analytical skills to clinically evaluate medical record • Ability to use a PC for medical record review along with proficiency utilizing Microsoft products (Excel, Word, Outlook) • Ability to communicate effectively with e4health management and clients • BSN Preferred • Smarter Dx experience • Epic & 3M 360

🏖️ Benefits

• excellent salary • full benefits package including 401(k) with company match • medical • dental • vision • life insurance • short/long term disability insurance • PTO policy

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