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Forvis Mazars US · 10 hours ago

Lead Consultant, Healthcare Performance Improvement - Clinical Documentation Integrity

Springfield, MO

Full-time

Hybrid

Senior Level

5+ years exp

Forvis Mazars US is a consulting firm specializing in healthcare performance improvement. The Lead Consultant will manage Clinical Documentation Integrity consulting engagements, focusing on enhancing documentation quality and compliance while delivering educational resources and actionable insights to healthcare leaders.

AccountingConsultingFinancial Services

H1B Sponsor Likely

Responsibilities

Conduct CDI program assessments and evaluate workflows to identify improvement opportunities

Identify documentation gaps impacting CC/MCC, SOI/ROM, HCCs, and DRG assignment

Recommend and implement strategies to improve documentation quality, compliance, and coding accuracy

Develop and maintain CDI policies, procedures, and best practices

Review clinical documentation and diagnostic data to identify missed severity and risk adjustment opportunities

Collaborate with coding teams to ensure accurate code assignment and analyze audit trends to support mitigation strategies

Deliver education for clinicians and CDI specialists on documentation standards, query compliance, DRG impacts, and record review best practices

Create tailored educational resources, including tools, job aids, and reference materials

Analyze CDI performance metrics such as CMI, DRG shifts, query response rates, and reconciliation accuracy

Develop dashboards and reports to present actionable insights to executives and clinical leaders

Manage client workstreams, updates, and deliverables, ensuring timely, high-quality outcomes

Prepare proposals, executive summaries, and project documentation

Qualification

Clinical Documentation ImprovementDRG methodologyElectronic Health RecordMicrosoft ExcelCDI program redesignRegistered NursePrior Consulting experienceQuality reporting familiarityCCDS certificationCDIP certification

Required

Bachelor's degree in a healthcare-related field

5+ years of related healthcare experience, including 2+ years in Clinical Documentation Improvement

Hands-on experience with CDI or Electronic Health Record (EHR) documentation platforms

Strong knowledge of DRG methodology, CC/MCC structure, and Hierarchical Condition Categories (HCCs)

Proficiency in Microsoft Excel and ability to interpret clinical data

Willingness to travel up to 60%, based on client needs

Preferred

Master's Degree

Registered Nurse

Prior Consulting experience

Experience leading CDI program redesign or expansion

Familiarity with quality reporting and risk adjustment metrics

CCDS, CDIP, or equivalent certification

Company

Forvis Mazars US

Forvis Mazars, LLP is an independent member of Forvis Mazars Global, a leading global professional services network.

Founded in 2022

Charlotte, North Carolina, USA

5001-10000 employees

https://www.forvis.com

H1B Sponsorship

Forvis Mazars US has a track record of offering H1B sponsorships. Please note that this does not guarantee sponsorship for this specific role. Below presents additional info for your reference. (Data Powered by US Department of Labor)

Distribution of Different Job Fields Receiving Sponsorship

Represents job field similar to this job

Trends of Total Sponsorships

2024 (11)

2023 (15)

2022 (2)

Funding

Current Stage

Late Stage

Leadership Team

Tom Watson

Chief Executive Officer

Gregory Shoemaker

Chief Technology Officer

Company data provided by crunchbase