Pediatric CDI Consultant

e4health; Pittsburgh (Allegheny County); On-site; USD 90,000 - 130,000; 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 deliver timely reviews of patient records, ensuring accurate documentation of severity and complexity of illness. You will collaborate with providers and coders to reflect chart data accurately and educate clinicians as needed.

Required qualifications include 3+ years CDI experience, CCDS/CDIP certification, and an active RN license or equivalent acute care background.

Qualifications

• 3+ years of clinical documentation integrity experience
• Pediatric CDI experience including CDI for Surgical Pediatrics (no NICU)
• CCDS or CDIP certification
• Current RN license or graduate of medical school with 5+ years of acute care 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 Integrity

Pediatric CDI

CCDS/CDIP

Analytical skills

MS Office

Education

RN license

BSN preferred

Tools

Microsoft Excel

Microsoft Word

Microsoft 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.

• 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 integrity experience
• Pediatric CDI experience including CDI for Surgical Pediatrics (no NICU)
• CCDS or CDIP certification
• Current RN license or graduate of medical school with 5+ years of acute care experience preferred
• 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

Preferred Qualifications

• BSN, in addition to RN license, is preferred