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CDI Consultant – $2000 Sign on Bonus Offered!
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 *Now offering $2000 sign on bonus! 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.
- Ensures inpatient clinical documentation accurately reflects severity of illness (SOI) and Risk of Mortality (ROM) through concurrent and post discharge record reviews.
- Ensures Present on Admission (POA) clinical conditions are documented accurately and within defined regulatory timeframes.
- Ensures documentation reflects accurate safety rating scores and quality of care scores (PSIs)
- Under the direction of the HIM Documentation Education Manager, participates in education sessions and feedback to coders, CDI Reviewers, and Hospital Quality Departments.
- Conducts regular audits using standardized methodology to ensure compliance with POA, HACs and PSI documentation.
- Tracks and trends data for use by the HIM Documentation Quality and Education Manager in order to assist with CDI and Coding team quarterly data quality reviews. Escalates any observed issues which may impact the quality of documentation or coding.
- Ensures that coding and DRG assignment is in compliance with CMS rules and regulations as well as with current coding practices and conventions.
- Is familiar with OIG workplan to determine payor denial patterns in order to target education needs and additional focused audits.
- Applies information related to coding changes and DRG and quality score changes that could significantly impact data quality and/or revenue via Case Mix Index (CMI)
- RN required
- Iodine experience required
- 2+ years of clinical documentation experience
- Strong clinical training experience
- APR experience required
- 3+ years of acute care experience required
- 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
- BSN Preferred
- Smarter Dx experience
- Epic & 3M 360
