CDI Consultant- $2,000 sign on bonus

e4health; Pittsburgh (Allegheny County); On-site; USD 70,000 - 95,000; Full time

Benefits offered by this job

401(k) with company match

Medical Insurance

Dental Insurance

Vision Insurance

Life Insurance

Short/Long-term disability

PTO

Job summary

e4health is seeking a Clinical Documentation Integrity (CDI) Consultant to provide timely reviews of patient records and ensure accurate documentation reflecting illness severity. The role involves collaboration with providers and coders to improve chart data and ensure regulatory compliance.

Responsibilities include concurrent/retrospective reviews, education efforts, and managing queries while protecting patient confidentiality and HIPAA rules.

Qualifications

• 3+ years of clinical documentation experience.
• Current RN license required.
• Strong analytical skills to evaluate medical records.
• Proficiency with PC-based chart review and Microsoft Office.
• Effective communication with management and clients.
• General understanding of AI tools.
• Comfortable using a Mac computer.
• Full Time – at least 32 hours per week.

Responsibilities

• Perform concurrent and/or retrospective reviews to identify documentation opportunities.
• Collaborate with providers and coders to ensure complete, accurate documentation.
• Follow client procedures and guidelines.
• Review records for relevant diagnoses and procedures.
• Initiate and complete queries to reflect accurate inpatient/outpatient data.
• Adhere to HIPAA and privacy requirements.
• Understand DRG payer issues, audit risks, and quality metrics.
• Work with client teams to meet assignment needs.

Skills

Clinical documentation

Analytical skills

PC medical record review

Microsoft Office

Communication

AI tools

Mac compatibility

Education

RN license

BSN (preferred)

Tools

Microsoft Word

Excel

Outlook

Job description

Description

At e4health, we Empower Better Health. The e4health Team is on a relentless mission to care for those teams who care for others. We bring our passion, ingenuity, and expertise to every engagement. In joining our Team, we want your help to provide our customers with powerful solutions in the pursuit of quality, integrity, clinical and financial value across healthcare.

Description

At e4health, we Empower Better Health. The e4health Team is on a relentless mission to care for those teams who care for others. We bring our passion, ingenuity, and expertise to every engagement. In joining our Team, we want your help to provide our customers with powerful solutions in the pursuit of quality, integrity, clinical and financial value across healthcare.

Our People make the difference. Serving more than 400 hospitals and health systems nationwide for nearly two decades, e4health provides solutions to tackle the toughest problems in healthcare with unmatched technology, mid-revenue cycle, and operational expertise. e4health solutions streamline clinical, financial, and health information data and workflows, optimize coding, quality, and clinical documentation integrity processes, and address health IT operational challenges to deliver material results for healthcare organizations across the country. Learn more about us at www.e4.health.

The Clinical Documentation Integrity (CDI) Consultant will provide timely reviews of patient medical records to ensure accurate and complete documentation to reflect the patient’s severity and complexity of illness. The CDI Consultant is expected to work with providers and coders to ensure that documentation on the chart reflects the complexity of the patient. The ability to educate and interact with providers is essential.

• Perform concurrent and/or potential retrospective review of the health record to identify opportunities for documentation clarification and improvement.
• Using clinical expertise, critical thinking, and knowledge of coding and regulatory requirements, the CDS collaborates with providers and other healthcare professionals to support complete, accurate, compliant, and clinically supported documentation of the patient’s story.
• Must follow all customer established procedures
• Review medical records as assigned for complete and accurate documentation of all relevant diagnoses and procedures
• Initiate and complete queries as necessary to reflect accurate data regarding the patient’s inpatient or outpatient visit
• Adhere to guidelines as set forth by ACDIS, AAPC, and AHIMA
• Maintain strict confidentiality of all patient information in accordance with HIPAA
• Demonstrate understanding of the business of healthcare: DRG payer issues, audit risks, documentation opportunities, quality metrics, hierarchical condition categories
• Work closely with the client, co-workers, and management to meet the specific needs of each assignment in alignment with core values
• Effectively utilize computer software based on the specific client requirements

Benefits

We offer an excellent salary, full benefits package including 401(k) with company match, medical, dental, vision, life, short/long term disability insurance, and PTO policy.

Physical Demands Of The Essential Functions

Sitting, talking, hearing and near vision are required over 90% of the time. Feeling is required over 90% of the time and reaching is required about 50% of the time. The ability to travel to field sites may be required up to 15% of the time.

Working Conditions While Performing Essential Functions

Over 90% of the time is spent indoors, with protection from weather conditions. Exposure to noise levels that may be distracting or uncomfortable is present only in unusual situations.

e4health is an equal opportunity employer and will consider all applications without regard to race, color, religion, national origin, ancestry, marital status, veteran status, age, disability, pregnancy, genetic information, gender, sexual orientation, gender identity or any other legally protected category.

Applicants for U.S. based positions with e4health must be legally authorized to work in the United States. Verification of employment eligibility will be required at the time of hire. Visa sponsorship is not available for this position.

Requirements

REQUIRED QUALIFICATIONS

• 3+ years of clinical documentation experience
• Current RN license
• Strong analytical skills to clinically evaluate the medical record
• Ability to use a PC for medical record review along with proficiency utilizing Microsoft products (Excel, Word, Outlook)
• Ability to communicate effectively with e4health management and clients
• General understanding and comfort with AI tools
• Comfortable working on a Mac computer
• Full Time - at least 32 hours per week
• Must have at least 3 years of relevant professional experience while living and working in the United States.

Preferred Qualifications

• CCDS or CDIP certification
• BSN, in addition to RN license
• Second Level Review Experience
• PST or MST time zone