Job Description:

• Apply strong understanding of clinical documentation and care delivery workflows.
• Conduct comprehensive inpatient medical record reviews for identified payer populations.
• Serve as an educational resource to client CDI teams.
• 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.
• Work collaboratively with coding teams to ensure accuracy and completeness of documentation and diagnoses.

Requirements:

• Bachelor’s degree in a related discipline preferred (RN, BSN, RHIA, RHIT, HIM, or similar).
• 2-5 years of consulting experience with an RN or clinical background is required.
• RNs without consulting experience will not be considered.
• Experience working in an academic medical center preferred.
• Current CCDS, CCS, or CDIP certification, or willingness and ability to obtain one, is required.
• Strong understanding of DRG, MS‑DRG, APR‑DRG, and HCC methodologies.
• Experience using EMRs such as Epic, Meditech, Cerner, 3M 360, etc.
• Strong proficiency in MS Office (Word, PowerPoint, Excel, Outlook).

Benefits:

• Health insurance
• 401(k) matching
• Remote work options