Remote CDI Strategy Lead | Clinical Documentation Expert

Berkeley Research Group, LLC

Emeryville (CA)

Remote

USD 120,000 - 165,000

Full time

2 days ago

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Job summary

Berkeley Research Group, LLC is seeking a Managing Consultant – Clinical Documentation Integrity (CDI) – Healthcare to lead CDI engagements and mentor client teams. The role focuses on transfer of CDI best practices, documentation optimization for SOI/POA/MS-DRG, and collaboration with physicians, coding staff, and HIM teams. Significant travel (approx.

25%) is required. You will work with the IHS practice to deliver education, develop training tools, and support healthcare clients with

Qualifications

Bachelor’s degree in a related discipline preferred (RN, BSN, RHIA, RHIT, HIM, or similar).
4-8 years of experience as a CDI specialist, inpatient coder, physician coder, or CDI consultant (or a blend) is required.
Prior consulting experience is highly preferred.
Experience across multiple specialties and care settings; academic medical center exposure strongly preferred.
Prior inpatient coding experience (ICD10CM/PCS); outpatient/physician coding a strong plus.
Deep knowledge of documentation, coding, and compliance regulations.
Strong understanding of DRG, MSDRG, APRDRG, and HCC methodologies.
Current CCDS, CCS, or CDIP certification (or willingness to obtain) is required.
RHIA, RHIT, CRC, CPC, or other coding credentials are highly preferred.
Experience using EMRs such as Epic, Meditech, Cerner, 3M 360, etc.
Ability to translate clinical and coding concepts into clear, actionable education.
Excellent critical thinking, communication, presentation, and analytical skills.
Strong proficiency in MS Office (Word, PowerPoint, Excel, Outlook).
Excellent time management skills and ability to balance multiple priorities.
A selfstarter with the ability to work effectively in an ambiguous, rapidly evolving consulting environment.

Responsibilities

Demonstrate extensive knowledge of clinical documentation requirements, coding guidelines, and workflows applicable to inpatient and outpatient/physician settings.
Conduct comprehensive inpatient medical record reviews for identified payer populations upon admission and throughout hospitalization.
Serve as an educational resource to client CDI teams, delivering classroom education, hands-on teaching, and ongoing mentoring.
Develop and deliver training to physicians, nurses, coding professionals, and ancillary staff on documentation best practices.
Analyze clinical information to identify gaps in documentation related to SOI, POA, MS-DRG, APR-DRG, PSI, and quality measures.
Formulate credible and compliant documentation clarifications.
Work collaboratively with coding teams to ensure accuracy and completeness of documentation and diagnoses.
Support clinical staff in understanding documentation needs through frequent interaction and coaching.
Provide high-quality input for client deliverables and contribute to expert reports.
Provide interim CDS support as needed.
Assist in developing CDI and HIM training tools, methodologies, and education materials.