Consultant – Healthcare Performance Improvement (Clinical Documentation Integrity)

BRG; Pennsylvania; Presencial; USD 70.000 - 150.000; Jornada completa

Descripción de la vacante

A consulting firm in Pennsylvania is seeking a mid-level Consultant with experience in Clinical Documentation Improvement. Responsibilities include reviewing medical records and facilitating documentation modifications. The ideal candidate has 4-7 years of experience and a relevant degree. The role requires strong analytical and communication skills and a willingness to travel 50-75%. Competitive salary between $70,000 and $150,000 offered.

Formación

• 4-7 years of experience as a Clinical Documentation Improvement (CDI) Specialist.
• Currently licensed as a Registered Nurse – ICU, OR, ED specialty preferred.
• Minimum 2 years of inpatient coding experience.

Responsabilidades

• Review inpatient medical records for identified payer populations.
• Analyze clinical information for potential gaps in physician documentation.
• Develop and implement plans for education of staff on documentation improvement.

Conocimientos

Clinical Documentation Improvement

Strong analytical skills

Excellent communication skills

Problem-solving

Organizational skills

Educación

RN, BSN, or Health Information Management degree

Herramientas

MS Office applications

EPIC

MEDITECH

Descripción del empleo

Overview

Description: We do Consulting Differently

BRG’s 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.

The Consultant position 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 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 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 patient’s clinical status and care.
• Develop and implement plans for education of physician, nursing, and ancillary staff on documentation improvement.

Qualifications

• 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.

Willing to travel consistently (50% - 75%, depending on project requirements and client expectations) is required for this position.

Compensation: Salary range $70,000 – $150,000 per year

Candidate must be able to submit verification of his/her legal right to work in the U.S., without company sponsorship.

About BRG

BRG combines world-leading academic credentials with world-tested business expertise purpose-built for agility and connectivity, which sets us apart—and gets you ahead.

At BRG, our top-tier professionals include specialist consultants, industry experts, renowned academics, and leading-edge data scientists. Together, they bring a diversity of proven real-world experience to economics, disputes, and investigations; corporate finance; and performance improvement services that address the most complex challenges for organizations across the globe.

Our unique structure nurtures the interdisciplinary relationships that give us the edge, laying the groundwork for more informed insights and more original, incisive thinking from diverse perspectives that, when paired with our global reach and resources, make us uniquely capable to address our clients’ challenges. We get results because we know how to apply our thinking to your world.

At BRG, we don’t just show you what’s possible. We’re built to help you make it happen.

BRG is proud to be an Equal Opportunity Employer. Our hiring practices provide equal opportunity for employment without regard to race, religion, color, sex, gender, national origin, age, United States military veteran status, ancestry, sexual orientation, marital status, family structure, medical condition including genetic characteristics or information, veteran status, or mental or physical disability so long as the essential functions of the job can be performed with or without reasonable accommodation, or any other protected category under federal, state, or local law.

Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities

Additional

Job function: Consulting, Information Technology, and Sales

Industries: Business Consulting and Services