Description

BRG's Clinical Economics and Healthcare Performance Improvement practices currently have several openings for CDI experts to join our team 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.

Requirements

Flexibility for travel (50-75%) is required for this position. Travel volume is dependent on project and client needs. 

• A Bachelor's degree in a related discipline is required, preferably RN, BSN, or Health Information Management. 
• A minimum of 4 years of experience as a Clinical Documentation Improvement Specialist (CDI) Specialist within a hospital setting, or as a CDI consultant, or a combination thereof, is required. 
• Minimum 2 years of inpatient coding experience with ICD-10 CM/PCS preferred.
• CCDS, CCS, or CDIP Certification is required; RHIA, RHIT, CRC, or CPC certification is highly preferred. 
• Possesses knowledge of DRG coding guidelines.
• Possess thorough understanding of the legal and compliance issues as they pertain to clinical documentation and coding.
• Prior experience and proficiency in Electronic Record systems such as Epic, Meditech, Cerner, 3M 360, or similar platforms. 
• Proficiency in understanding and delivering education in All Patient Refined Diagnosis Related Group (APR DRG’s).
• Experience in the delivery of CDI Education to clients regarding appropriate diagnoses for capturing accurate Severity of illness, Hierarchical Condition Category (HCC’s) and Medicare Severity Diagnosis Related Group (MS DRG’s)
• Prior experience in the review and analysis of health records to identify relevant diagnoses and procedures for distinct patient encounters. 
• Ability to assist with the development of CDI and HIM training and consulting tools and methodologies.
• Excellent organizational, analytical, and writing skills, with the ability to demonstrate critical thinking and problem-solving.
• Strong verbal and written communication skills, with excellent public speaking and presentation abilities.
• Knowledge of regulatory guidelines and Medicare Part A, MS-DRG, and/or APR-DRG payment methodologies.
• Strong proficiency in MS Office applications, including Word, PowerPoint, Excel, and Outlook.
• Excellent time management skills and the ability to handle multiple priorities effectively. 

Candidate must be able to submit verification of his/her legal right to work in the U.S., without company sponsorship.