Clinical Documentation Integrity (CDI) Consultant

🌍 Remote, USA 🎯 Full-time 🕐 Posted Recently

Job Description

BRG's Clinical Economics and Healthcare Performance Improvement practices currently have several openings for CDI experts to at the Consultant or Managing Consultant level. This position requires a highly motivated problem solver with strong analytical ability and a desire to advance within the organization. An individual with an entrepreneurial spirit and an ability to apply creative solutions is a natural fit for this position. The Consultant/Managing Consultant is an integral part of the CDI team and works closely with the client’s CDI team, supporting classroom education and mentoring.

They are responsible for ensuring the successful transfer of CDI best practices from the consulting team to the client team. The Consultant/Managing Consultant also facilitates accurate documentation for severity of illness (SOI) and quality in the medical record, which involves extensive record review and interaction with physicians, health information management professionals, coding professionals, and nursing staff. Job title and compensation will be determined based on qualifications and experience.

We are hiring for several roles at a variety of levels. If you are a CDI professional and do not meet all of the listed criteria, we still encourage you to apply. Responsibilities: • Demonstrate extensive knowledge of clinical documentation requirements and coding guidelines applicable to inpatient care and outpatient care settings. • Review inpatient medical records for identified payer populations on admission and throughout hospitalization. • Provide input for complete and accurate client deliverables and make valuable contributions as a team member to expert reports.

• Analyze clinical information to identify areas within the chart for potential gaps in physician documentation. • Formulate credible clinical documentation clarifications to improve clinical documentation of principal diagnosis, co-morbidities, present on admission (POA), quality measures, and patient safety indicators (PSI). • Facilitate modifications to clinical documentation through extensive interaction with physicians, nurses, and ancillary staff. • Work collaboratively with the coding staff to assure documentation of discharge diagnoses and comorbidities are a complete reflection of the patient’s clinical status and care.

• Develop and implement plans for education of physician, nursing, and ancillary staff on documentation improvement. • Provide Interim CDS support per client need. Apply tot his job

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