Senior Consultant

e4health

Clinical Documentation Integrity Senior Consultant ensuring accurate medical record documentation with e4health's healthcare solutions. Collaborating with customers and teams to enhance clinical documentation integrity and compliance.

Posted 5/15/2026full-timeRemote • 🇺🇸 United StatesSeniorWebsite

About the role

Key responsibilities & impact

Review medical records as assigned for complete and accurate documentation of all relevant diagnoses and procedures
Providing ad-hoc support to Customer leadership regarding current CDI processes and practice not limited to attending customer meetings and sharing insights via CDI metrics
Identify missed documentation opportunities within medical records as previously reviewed or not reviewed by other Clinical Documentation Integrity Specialist
Evaluate queries from a compliance perspective to determine if there are any areas of risk, using ACDIS/AHIMA Practice Brief as the standard
Assess adherence to Customer specific CDI processes/procedures
Adhere to guidelines as set forth by ACDIS, AAPC, and AHIMA
Demonstrate understanding of the business of healthcare: MS and APR DRG payer issues, audit risks, documentation opportunities, POA, quality metrics, hierarchical condition categories, and various risk adjustment methodologies
Work closely with the Customer, 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 Customer requirements
Provide constructive feedback to other CDI Auditors
Maintain strict confidentiality of all patient information in accordance with HIPAA

Requirements

What you’ll need

Candidate must possess current RN license
3+ years of clinical documentation experience required with an acute care facility required
3+ years of consulting experience
2+ years of CDI auditing and/or second level review experience
Solventum 360 reporting experience required
Thorough understanding of both MS and APR DRG methodologies and Compliant Query Practices as outlined by ACDIS/AHIMA
Strong analytical skills to clinically evaluate the medical record
Ability to independently use multiple computer applications for medical record review along with proficiency utilizing Microsoft products (Excel, Word, Outlook)
Ability to communicate effectively with e4health management and Customers
Proficiency with ICD-10-CM and ICD-10-PCS

Benefits

Comp & perks

full benefits package including 401(k) with company match
medical
dental
vision
life insurance
short/long term disability insurance
PTO policy

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills & Tools

clinical documentationCDI auditingICD-10-CMICD-10-PCSMS DRG methodologyAPR DRG methodologycompliant query practicesanalytical skillsmedical record evaluationrisk adjustment methodologies

Soft Skills

effective communicationconstructive feedbackindependent workcollaborationconfidentiality

Certifications

RN license