Consultant – Clinical Documentation Integrity, Healthcare
Berkeley Research Group (BRG)
full-time
Posted on:
Location Type: Remote
Location: United States
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Salary
💰 $90,000 - $135,000 per year
About the role
- Apply strong understanding of clinical documentation and care delivery workflows.
- Conduct comprehensive inpatient medical record reviews for identified payer populations.
- Serve as an educational resource to client CDI teams.
- 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.
- Work collaboratively with coding teams to ensure accuracy and completeness of documentation and diagnoses.
Requirements
- Bachelor’s degree in a related discipline preferred (RN, BSN, RHIA, RHIT, HIM, or similar).
- 2-5 years of consulting experience with an RN or clinical background is required.
- RNs without consulting experience will not be considered.
- Experience working in an academic medical center preferred.
- Current CCDS, CCS, or CDIP certification, or willingness and ability to obtain one, is required.
- Strong understanding of DRG, MS‑DRG, APR‑DRG, and HCC methodologies.
- Experience using EMRs such as Epic, Meditech, Cerner, 3M 360, etc.
- Strong proficiency in MS Office (Word, PowerPoint, Excel, Outlook).
Benefits
- Health insurance
- 401(k) matching
- Remote work options
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
clinical documentationcare delivery workflowsinpatient medical record reviewsdocumentation best practicesgaps analysisSOIPOAMS-DRGAPR-DRGHCC methodologies
Soft Skills
educational resourcecollaborationtraining delivery
Certifications
CCDSCCSCDIP