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Senior Consultant

ConsultantConsultantFull TimeRemoteSeniorTeam 501-1,000H1B No SponsorCompany SiteLinkedIn

Location

United States

Posted

22 days ago

Salary

0

Seniority

Senior

Bachelor Degree3 yrs expEnglish

Job Description

Senior Consultant

e4health

• 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

Job 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

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