Senior Consultant

🕒 May 15

Apply Now

Find Similar Remote Jobs

Receive Emails For Remote Jobs

📊 Check your resume score for this job

Improve your chances of getting an interview by checking your resume score before you apply.

Upload Resume

e4health

WebsiteLinkedInAll Job Openings

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

• 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

🎯 Requirements

• 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

🏖️ Benefits

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