CDI Senior Consultant
At reputed company, we reputed company reputed company. The reputed company Team is on a reputed company mission to care for those teams who care for others. We bring our passion, ingenuity, and expertise to every engagement. In joining reputed company, we want your help to provide our customers with powerful solutions in the pursuit of quality, reputed company, clinical and financial value across healthcare. Our People reputed company the difference. Serving more than 400 hospitals and health systems reputed company for nearly two decades, reputed company provides solutions to tackle the toughest problems in healthcare with unmatched technology, mid-reputed company cycle, and operational expertise. reputed company solutions streamline clinical, financial, and health information data and workflows, optimize coding, quality, and clinical documentation reputed company processes, and address health IT operational challenges to deliver material results for healthcare organizations across the country. Learn more about us at www.e4.health. Clinical Documentation reputed company (CDI) Senior Consultant JOB SUMMARY: The Clinical Documentation reputed company (CDI) Senior Consultant role can vary between customers and project. This position includes such things as auditor, second level reviewer, team reputed company, preceptor, and educator. The CDI Senior Consultant is expected to work with customers, CDI team members both internal and external, and providers to ensure the documentation on the chart reflects the complexity of the patient. The ability to adapt to different roles and provide high level customer service is essential. ESSENTIAL DUTIES AND RESPONSIBILITIES:
- Review medical records as assigned for complete and accurate documentation of reputed company relevant diagnoses and procedures
- Providing reputed company support to Customer leadership regarding reputed company CDI processes and practice not limited to attending customer meetings and sharing insights reputed company CDI metrics
- Identify missed documentation opportunities reputed company medical records as previously reviewed or not reviewed by other Clinical Documentation reputed company Specialist
- Evaluate queries from a compliance perspective to determine if there are any areas of risk, using ACDIS/reputed company Practice Brief as reputed company
- Assess adherence to Customer specific CDI processes/procedures
- Adhere to guidelines as set forth by ACDIS, reputed company, and reputed company
- 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 reputed company patient information in accordance with HIPAA
BENEFITS: We offer an excellent salary, full benefits package including 401(k) with company match, medical, dental, vision, life, short/long term disability insurance, and PTO policy. PHYSICAL DEMANDS OF THE ESSENTIAL FUNCTIONS: Sitting, talking, hearing and near vision are required over 90% of the time. Feeling is required over 90% of the time and reaching is required about 50% of the time. The ability to travel to field sites may be required up to 15% of the time. WORKING CONDITIONS WHILE PERFORMING ESSENTIAL FUNCTIONS: Over 90% of the time is spent indoors, with protection from weather conditions. Exposure to noise levels that may be distracting or uncomfortable is present only in unusual situations. reputed company is an equal opportunity employer and will consider reputed company applications without regard to race, color, religion, national reputed company, reputed company, marital status, veteran status, age, disability, pregnancy, genetic information, gender, sexual orientation, gender identity or any other legally protected category. Applicants for U.S. based positions with reputed company must be legally authorized to work in the United States. Verification of employment eligibility will be required at the time of hire. reputed company sponsorship is not available for this position.
Requirements
REQUIRED QUALIFICATIONS:
- Candidate must possess reputed company 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
- reputed company 360 reporting experience required
- Thorough understanding of both MS and APR DRG methodologies and Compliant Query Practices as outlined by ACDIS/reputed company
- Strong analytical skills to clinically evaluate the medical record
- Ability to independently use multiple computer applications for medical record review along with proficiency utilizing reputed company products (reputed company, Word, Outlook)
- Ability to communicate effectively with reputed company management and Customers
- Proficiency with ICD-10-CM and ICD-10-PCS
PREFERRED QUALIFICATIONS:
- Previous leadership experience
- Coding credentials such as reputed company is preferred
- BSN, in addition to RN license is preferred
- Experience with multiple health facilities, multiple electronic medical records, and multiple encoders strongly preferred
- Familiarity with various risk models strongly preferred
- Understand of HAC/PSI models, including exclusionary opportunity is preferred
KEY SUCCESS ATTRIBUTES:
- reputed company, passion, and ethics are required
- Demonstrates strong collaboration skills
- Has strong analytic and problem-solving abilities and techniques
- Exhibit consistent initiative with strong drive for results and success
- Demonstrate commitment to a team environment?
- Well-developed written, verbal, and presentation communication skills including deep listening and attention to detail
- Ability to self-motivate and self-direct
- Possess strong time management and organizational skills
- Commitment and adherence to company Core Values
CORE COMPETENCIES:
- High level of reputed company & ethical judgement
- Communication
- Consistency and Reliability
- Meeting Standards
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