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Managing Consultant - Clinical Documentation Integrity (CDI) - Healthcare

Remote · Sri Lanka Full-time

The Managing Consultant works closely with the client's CDI team, supporting classroom education and mentoring. They are responsible for ensuring the successful transfer of CDI best practices from the consulting team to the client team. The Managing Consultant also facilitates accurate documentation for severity of illness (SOI) and quality in the medical record, which involves extensive record review and interaction with physicians, health information management professionals, coding professionals, and nursing staff. Managing Consultants are expected to demonstrate leadership, manage multiple projects, and contribute to business development and staff development initiatives. Willing to travel consistently (50% - 75%), depending on project requirements and client expectations, is required for this position. Responsibilities - 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. Qualifications - 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. Salary Range: $120,000 - $165,000 per year Job title and compensation will be determined based on qualifications and experience. Candidate must be able to submit verification of his/her legal right to work in the United States, without company sponsorship.

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