Managing Consultant – Clinical Documentation Integrity, Healthcare

Job Description: • Demonstrate extensive knowledge of clinical documentation requirements, coding guidelines, and workflows applicable to inpatient and outpatient/physician settings • Conduct comprehensive inpatient medical record reviews for identified payer populations upon admission and throughout hospitalization • Serve as an educational resource to client CDI teams, delivering classroom education, hands-on teaching, and ongoing mentoring • Develop and deliver training to physicians, nurses, coding professionals, and ancillary staff on documentation best practices • Analyze clinical information to identify gaps in documentation related to SOI, POA, MS-DRG, APR-DRG, PSI, and quality measures • Formulate credible and compliant documentation clarifications • Work collaboratively with coding teams to ensure accuracy and completeness of documentation and diagnoses • Support clinical staff in understanding documentation needs through frequent interaction and coaching • Provide high-quality input for client deliverables and contribute to expert reports • Provide interim CDS support as needed • Assist in developing CDI and HIM training tools, methodologies, and education materials Requirements: • Bachelor’s degree in a related discipline preferred (RN, BSN, RHIA, RHIT, HIM, or similar) • 4-8 years of experience as a CDI specialist, inpatient coder, physician coder, or CDI consultant (or a blend) is required • Prior consulting experience is highly preferred • Experience across multiple specialties and care settings; academic medical center exposure strongly preferred • Prior inpatient coding experience (ICD10CM/PCS); outpatient/physician coding a strong plus • Deep knowledge of documentation, coding, and compliance regulations • Strong understanding of DRG, MSDRG, APRDRG, and HCC methodologies • Desire to grow within the CDI consulting space while cross-collaborating with other IHS service lines is necessary • Strong ability and enthusiasm for teaching, mentoring, and delivering education to clients and internal teams • Current CCDS, CCS, or CDIP certification (or willingness to obtain) is required • RHIA, RHIT, CRC, CPC, or other coding credentials are highly preferred • Experience using EMRs such as Epic, Meditech, Cerner, 3M 360, etc. • Ability to translate clinical and coding concepts into clear, actionable education • Excellent critical thinking, communication, presentation, and analytical skills • Strong proficiency in MS Office (Word, PowerPoint, Excel, Outlook) • Excellent time management skills and ability to balance multiple priorities • A self‑starter with the ability to work effectively in an ambiguous, rapidly evolving consulting environment Benefits: • Health insurance • Professional development opportunities Apply tot his job Apply To this Job