CDI Consultant: Clinical Documentation Excellence

e4health; Pittsburgh (Allegheny County); On-site; USD 85,000 - 120,000; Full time

Benefits offered by this job

401(k) with company match

Medical, dental, vision, life, short//

PTO

Job summary

e4health seeks a Clinical Documentation Integrity (CDI) Consultant to review patient records, initiate queries, and educate providers to reflect illness severity and complexity. You will work with clinicians, coders, and clients to ensure accurate documentation and compliance with ACDIS/AHIMA guidelines.

Role requires HIPAA confidentiality, DRG awareness, and occasional field travel up to 15% to meet client needs.

Qualifications

• Active RN license required.
• BSN preferred.
• CCDS or CDIP preferred.
• Strong bedside ICU experience.

Responsibilities

• Review medical records for complete documentation of diagnoses and procedures.
• Initiate and complete queries to reflect accurate data for inpatient or outpatient visits.
• Adhere to ACDIS, AAPC, and AHIMA guidelines.
• Maintain confidentiality of all patient information per HIPAA.

Skills

Clinical documentation

Query initiation

HIPAA compliance

Communication with clients

Attention to detail

Education

RN license

BSN

CCDS certification

CDIP certification

Tools

Epic

Solventum

Vizient

Job description

e4health seeks a Clinical Documentation Integrity (CDI) Consultant to review patient records, initiate queries, and educate providers to reflect illness severity and complexity. You will work with clinicians, coders, and clients to ensure accurate documentation and compliance with ACDIS/AHIMA guidelines.

Role requires HIPAA confidentiality, DRG awareness, and occasional field travel up to 15% to meet client needs.