BRG

Consultant – Healthcare Performance Improvement, Clinical Documentation Integrity

BRG

full-time

Posted on:

Origin:  • 🇺🇸 United States

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Salary

💰 $70,000 - $150,000 per year

Job Level

Mid-LevelSenior

About the role

  • BRG’s Healthcare Performance Improvement practice works with healthcare providers to identify and implement measurable and sustainable financial, clinical, and operational performance improvements.
  • Consultant is a mid level consulting staff position supporting Clinical Documentation Integrity (CDI) teams and facilitating transfer of CDI best practices to client teams.
  • Review inpatient medical records for identified payer populations on admission and throughout hospitalization and analyze clinical information to identify documentation gaps.
  • Formulate clinical documentation clarifications to improve documentation of principal diagnosis, co-morbidities, POA, quality measures, and PSIs and facilitate modifications through interaction with clinicians.
  • Work collaboratively with coding staff to ensure documentation reflects patient’s clinical status and care.
  • Develop and implement education plans for 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.
  • Willing to travel consistently (50% - 75 %, depending on project requirements and client expectations) is required for this position.