BRG · 8 hours ago
Healthcare Clinical Documentation Integrity (CDI) Consultant
United States
Full-time
Remote
Mid, Senior Level
$70K/yr - $150K/yr
4+ years expBRG is a consulting firm that combines academic credentials with business expertise. They are seeking a Healthcare Clinical Documentation Integrity (CDI) Consultant to work closely with clients, ensuring best practices in clinical documentation and facilitating accurate medical records through extensive interaction with healthcare professionals.
AdviceConsultingFinanceFinancial ServicesManagement Consulting
No H1B
Responsibilities
Demonstrate extensive knowledge of clinical documentation requirements and coding guidelines applicable to inpatient care and outpatient care settings
Review inpatient medical records for identified payer populations on admission and throughout hospitalization
Provide input for complete and accurate client deliverables and make valuable contributions as a team member to expert reports
Analyze clinical information to identify areas within the chart for potential gaps in physician documentation
Formulate credible clinical documentation clarifications to improve clinical documentation of principal diagnosis, co-morbidities, present on admission (POA), quality measures, and patient safety indicators (PSI)
Facilitate modifications to clinical documentation through extensive interaction with physicians, nurses, and ancillary staff
Work collaboratively with the coding staff to assure documentation of discharge diagnoses and comorbidities are a complete reflection of the patient’s clinical status and care
Develop and implement plans for education of physician, nursing, and ancillary staff on documentation improvement
Provide Interim CDS support per client need
Qualification
Required
A Bachelor's degree in a related discipline is required, preferably RN, BSN, or Health Information Management
A minimum of 4 years of experience as a Clinical Documentation Improvement Specialist (CDI) Specialist within a hospital setting, or as a CDI consultant, or a combination thereof, is required
CCDS, CCS, or CDIP Certification is required; RHIA, RHIT, CRC, or CPC certification is highly preferred
Possesses knowledge of DRG coding guidelines
Possess thorough understanding of the legal and compliance issues as they pertain to clinical documentation and coding
Prior experience and proficiency in Electronic Record systems such as Epic, Meditech, Cerner, 3M 360, or similar platforms
Proficiency in understanding and delivering education in All Patient Refined Diagnosis Related Group (APR DRG's)
Experience in the delivery of CDI Education to clients regarding appropriate diagnoses for capturing accurate Severity of illness, Hierarchical Condition Category (HCC's) and Medicare Severity Diagnosis Related Group (MS DRG's)
Prior experience in the review and analysis of health records to identify relevant diagnoses and procedures for distinct patient encounters
Ability to assist with the development of CDI and HIM training and consulting tools and methodologies
Excellent organizational, analytical, and writing skills, with the ability to demonstrate critical thinking and problem-solving
Strong verbal and written communication skills, with excellent public speaking and presentation abilities
Knowledge of regulatory guidelines and Medicare Part A, MS-DRG, and/or APR-DRG payment methodologies
Strong proficiency in MS Office applications, including Word, PowerPoint, Excel, and Outlook
Excellent time management skills and the ability to handle multiple priorities effectively
Preferred
Minimum 2 years of inpatient coding experience with ICD-10 CM/PCS preferred
Benefits
Competitive signon bonus
Company
BRG
BRG combines world-leading academic credentials with world-tested business expertise, purpose-built for agility and connectivity, which sets us apart—and gets our clients ahead.
1001-5000 employees
Funding
Current Stage
Late StageTotal Funding
$84.56MKey Investors
Endeavour Capital
2025-02-27Acquired
2020-07-02Series Unknown· $19.44M
2017-03-29Private Equity· $62.5M
Leadership Team
Ai Deng
Managing Director
Amy Worley
Managing Director, AGC, Head Privacy Compliance Advisory Practice
Recent News
2025-12-01
2025-11-19
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