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Senior Consultant
Location
United States
Posted
22 days ago
Salary
0
Seniority
Senior
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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