Clinical Documentation Integrity Specialist

e4health; United States; Remote; USD 70,000 - 100,000; Full time

Benefits offered by this job

401(k) with company match

Medical insurance

Dental insurance

Vision insurance

Life insurance

Short/long term disability insurance

PTO policy

Job summary

e4health is seeking a CDI Consultant to provide timely reviews of patient medical records to ensure accurate documentation reflecting illness severity and complexity. You will collaborate with providers and coders to ensure chart data reflects patient complexity and educate clinicians as needed.

We offer a competitive salary and comprehensive benefits, with opportunities to work across healthcare settings and travel up to 15%.

Qualifications

• 2+ years of clinical documentation experience.
• Current RN license or graduate of medical school with 5+ years of acute care experience preferred; some client may require RN
• 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
• Maryland APR-DRG experience preferred

Responsibilities

• 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

Skills

Clinical documentation

Analytical skills

Communication

Microsoft Office

Education

RN license

Graduate of medical school with 5+ years acute care experience

Tools

Microsoft Excel

Microsoft Word

Microsoft Outlook

Job description

e4health is seeking a CDI Consultant to provide timely reviews of patient medical records to ensure accurate documentation reflecting illness severity and complexity. You will collaborate with providers and coders to ensure chart data reflects patient complexity and educate clinicians as needed.

We offer a competitive salary and comprehensive benefits, with opportunities to work across healthcare settings and travel up to 15%.