Managing Consultant – Clinical Documentation Integrity, Healthcare

🕒 il y a 13 jours

🇺🇸 États-Unis – Télétravail

💵 $120 000 - $165 000 / an

⏰ Temps Plein

🟡 Intermédiaire

🟠 Senior

🏥📝 Rédacteur Médical

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🗣️🇺🇸🇬🇧 Anglais requis

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Berkeley Research Group (BRG)

1001 - 5000 employés

🏗️ Construction

📦 Logistique

🎖️ Défense

💰 Venture Round en 2020-07

Construction • Logistics • Defense

BRG associe des références académiques de premier plan à une expertise commerciale éprouvée sur le terrain, conçues pour l'agilité et la connectivité, ce qui nous distingue—et propulse nos clients en avant.

Description

• Work closely with the client’s CDI team, supporting classroom education and mentoring • Ensure successful transfer of CDI best practices from the consulting team to the client team • Facilitate accurate documentation for severity of illness (SOI) and quality in the medical record • Interact with physicians, health information management professionals, coding professionals, and nursing staff • Demonstrate extensive knowledge of clinical documentation requirements, coding guidelines, and workflows applicable to inpatient and outpatient/physician settings • Conduct comprehensive inpatient medical record reviews for identified payer populations upon admission and throughout hospitalization • Serve as an educational resource to client CDI teams through classroom education, hands-on teaching, and ongoing mentoring • Develop and deliver training to physicians, nurses, coding professionals, and ancillary staff on documentation best practices • Analyze clinical information to identify documentation gaps related to SOI, POA, MS-DRG, APR-DRG, PSI, and quality measures • Formulate credible and compliant documentation clarifications • Collaborate with coding teams to ensure accuracy and completeness of documentation and diagnoses • Support clinical staff through frequent interaction and coaching • Provide high-quality input for client deliverables and contribute to expert reports • Provide interim CDS support as needed • Assist in developing CDI and HIM training tools, methodologies, and education materials • Demonstrate leadership, manage multiple projects, and contribute to business development and staff development initiatives • Travel consistently (25%) depending on project requirements and client expectations

🎯 Exigences

• Bachelor’s degree in a related discipline preferred (RN, BSN, RHIA, RHIT, HIM, or similar) • 4-8 years of experience as a CDI specialist, inpatient coder, physician coder, or CDI consultant (or a blend) is required • Prior consulting experience is highly preferred • Experience across multiple specialties and care settings; academic medical center exposure strongly preferred • Prior inpatient coding experience (ICD10CM/PCS); outpatient/physician coding a strong plus • Deep knowledge of documentation, coding, and compliance regulations • Strong understanding of DRG, MSDRG, APRDRG, and HCC methodologies • Desire to grow within the CDI consulting space while cross-collaborating with other IHS service lines is necessary • Strong ability and enthusiasm for teaching, mentoring, and delivering education to clients and internal teams • Current CCDS, CCS, or CDIP certification (or willingness to obtain) is required • RHIA, RHIT, CRC, CPC, or other coding credentials are highly preferred • Experience using EMRs such as Epic, Meditech, Cerner, 3M 360, etc. • Ability to translate clinical and coding concepts into clear, actionable education • Excellent critical thinking, communication, presentation, and analytical skills • Strong proficiency in MS Office (Word, PowerPoint, Excel, Outlook) • Excellent time management skills and ability to balance multiple priorities • A self-starter with the ability to work effectively in an ambiguous, rapidly evolving consulting environment • Candidate must be able to submit verification of his/her legal right to work in the United States, without company sponsorship

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