Consultant Healthcare Performance Improvement (Clinical Documentation Integrity)

BRG; Emeryville (CA); On-site; USD 70,000 - 150,000; Full time

Job summary

A leading consulting firm is seeking a mid-level Consultant in Healthcare Performance Improvement in Emeryville, CA. The position involves analyzing clinical documentation, ensuring accurate records, and educating healthcare staff on best practices. The ideal candidate has strong analytical and communication skills and is committed to driving performance improvements in the healthcare sector.

Qualifications

• 4-7 years of experience as a Clinical Documentation Improvement Specialist.
• Minimum 2 years of inpatient coding experience with ICD-10 CM/PCS preferred.
• ACDIS or AHIMA certification preferred.

Responsibilities

• Review inpatient medical records for payer populations on admission.
• Facilitate modifications to clinical documentation through interaction with physicians.
• Develop and implement education plans for staff on documentation improvement.

Skills

Analytical ability

Communication skills

Problem-solving

Organizational skills

Critical thinking

Education

RN, BSN, or Health Information Management degree

Tools

MS Office

EPIC

MEDITECH

Job description

Consultant Healthcare Performance Improvement (Clinical Documentation Integrity)

Consultant Healthcare Performance Improvement (Clinical Documentation Integrity)

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Berkeley Research Group

BRGs Healthcare Performance Improvement practice works with healthcare providers to identify and implement measurable and sustainable financial, clinical, and operational performance improvements. We combine comprehensive expertise, experience, and analytics to deliver data-driven, innovative approaches to help hospitals, health systems, academic medical centers, and other providers tackle their most complex problems. We have assessed and implemented nearly $1 billion in cost savings and revenue improvement for our diverse set of clients over the last ten years.TheConsultantposition is a mid level consulting staff position. This position requires a highly motivated problem solver with strong analytical ability and a desire to advance within the organization. An individual with an entrepreneurial spirit and an ability to apply creative solutions is a natural fit for this position. The Consultant is an integral part of the CDI team and works closely with the clients 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 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. Responsibilities:

• Review inpatient medical records for identified payer populations on admission and throughout hospitalization.
• Analyze clinical information to identify areas within the chart for potential gaps in physician documentation.
• Formulate credible clinical documentation clarifications to improve clinical documentation of principal diagnosis, co-morbidities, present on admission (POA), quality measures, and patient safety indicators (PSI).
• Facilitate modifications to clinical documentation through extensive interaction with physicians, nurses, and ancillary staff.
• Work collaboratively with the coding staff to assure documentation of discharge diagnoses and comorbidities are a complete reflection of the patients clinical status and care.
• Develop and implement plans for education of physician, nursing, and ancillary staff on documentation improvement.

Berkeley Research Group

BRGs Healthcare Performance Improvement practice works with healthcare providers to identify and implement measurable and sustainable financial, clinical, and operational performance improvements. We combine comprehensive expertise, experience, and analytics to deliver data-driven, innovative approaches to help hospitals, health systems, academic medical centers, and other providers tackle their most complex problems. We have assessed and implemented nearly $1 billion in cost savings and revenue improvement for our diverse set of clients over the last ten years.TheConsultantposition is a mid level consulting staff position. This position requires a highly motivated problem solver with strong analytical ability and a desire to advance within the organization. An individual with an entrepreneurial spirit and an ability to apply creative solutions is a natural fit for this position. The Consultant is an integral part of the CDI team and works closely with the clients 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 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. Responsibilities:

• Review inpatient medical records for identified payer populations on admission and throughout hospitalization.
• Analyze clinical information to identify areas within the chart for potential gaps in physician documentation.
• Formulate credible clinical documentation clarifications to improve clinical documentation of principal diagnosis, co-morbidities, present on admission (POA), quality measures, and patient safety indicators (PSI).
• Facilitate modifications to clinical documentation through extensive interaction with physicians, nurses, and ancillary staff.
• Work collaboratively with the coding staff to assure documentation of discharge diagnoses and comorbidities are a complete reflection of the patients clinical status and care.
• Develop and implement plans for education of physician, nursing, and ancillary staff on documentation improvement.

Requirements:

• 4-7 years of experience as a Clinical Documentation Improvement (CDI) Specialist within a hospital setting or as a CDI consultant, or a combination thereof.
• RN, BSN, or Health Information Management degree required.
• Currently licensed as a Registered Nurse ICU, OR, ED specialty preferred, with a strong understanding of clinical workflow.
• Minimum 2 years of inpatient coding experience with ICD-10 CM/PCS preferred.
• ACDIS or AHIMA certification preferred.
• Strong knowledge of CDI principles, including the ability to audit medical records, teach CDI principles to clinicians, coders, and other healthcare professionals.
• Experience in clinical documentation improvement, coding, audit, or Health Information Management.
• Ability to assist with the development of CDI and HIM training and consulting tools and methodologies.
• Excellent organizational, analytical, and writing skills, with the ability to demonstrate critical thinking and problem-solving.
• Strong verbal and written communication skills, with excellent public speaking and presentation abilities.
• Effective communication with physicians, coding professionals, and other stakeholders.
• Knowledge of regulatory guidelines and Medicare Part A, MS-DRG, and/or APR-DRG payment methodologies.
• Ability to pass a written clinical competency assessment.
• Familiarity with hospital systems such as EPIC, MEDITECH, or similar platforms is desired.
• Strong proficiency in MS Office applications, including Word, PowerPoint, Excel, and Outlook.
• Excellent time management skills and the ability to handle multiple priorities effectively.

Consultant Salary Range: $70,000 $150,000 per yearCandidate must be able to submit verification of his/her legal right to work in the U.S., without company sponsorship.

BRG is an Equal Employment Opportunity/Affirmative Action Employer. All qualified candidates will receive consideration for employment without regard to race, color, religion, sex, gender identity, sexual orientation, national origin, disability, or protected veteran status.


Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities

Seniority level

• Seniority level

  Mid-Senior level

Employment type

• Employment type

  Full-time

Job function

• Job function

  Consulting, Information Technology, and Sales

• Industries

  Business Consulting and Services

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