CDI Consultant

About Us:

Our purpose is to help clients exceed their financial health goals. Across the reimbursement cycle, our scalable solutions and clinical expertise help solve programmatic needs. Enabling our teams with leading technology allows analytics to guide our solutions and keeps us accountable achieving goals. 

We build long-term careers by investing in YOU. We seek to create an environment that cultivates your professional development and personal growth, as we believe your success is our success.  

JOB SUMMARY:

The CDI Consultant will collaborate extensively with physicians, CDI/HIM staff, and facility leadership to improve the quality, specificity, accuracy and completeness of the documentation of care provided and coded. They will also work closely with CDI and HIM staff and leadership, and other key stakeholders, to drive programmatic changes and education initiatives. The CDI Consultant will review facility data for opportunities for increased accurate reimbursement as well as timely and complete documentation of clinical information used for measuring and reporting physician and facility outcomes. This person will assess client’ s clinical documentation integrity program structure and goals, reporting and compliance programs, and areas of opportunity as noted and provide the necessary recommendations for program improvement.
Travel: 80%

ESSENTIAL DUTIES AND RESPONSIBILITIES: 
Note: The essential duties and responsibilities below are intended to describe the general duties and responsibilities of this position and are not intended to be an exhaustive statement of duties. This position may perform all or most of the primary duties listed below. Specific tasks, responsibilities or competencies may be documented in the Team Member’s performance objectives as outlined by the Team Member’s immediate Leadership Team Member.

ESSENTIAL DUTIES AND RESPONSIBILITIES:

Note: The essential duties and responsibilities below are intended to describe the general duties and responsibilities of this position and are not intended to be an exhaustive statement of duties. This position may perform all or most of the primary duties listed below. Specific tasks, responsibilities or competencies may be documented in the Team Member’s performance objectives as outlined by the Team Member’s immediate Leadership Team Member.

• Adheres to all coding and clinical documentation improvement guidelines as endorsed by ACDIS and AHIMA.
• Acts as an Inpatient & Outpatient CDI SME for the facility, consulting with CDI/HIM leaders, as well as other executive leadership, to promote growth and stability for the CDI program under review.
• Provide programmatic assessments and analysis based on client’s requests and facility needs.
• Define best practice for CDI programs and facilitate programmatic changes based on assessments and analysis.
• Analyze findings and identify potential root causes of produced errors, programmatic deficiencies, or lack thereof.
• Prepare summary reports of findings to clients, supplying specific references supporting findings contained within the provided CDI or audit report.
• Research, analyze, and respond to inquiries regarding compliance, inappropriate coding, denials, and billable services.
• In all situations, protect the privacy and confidentiality of patient health and client information, and follow the Standards of Ethical Coding as set forth by AHIMA and adhere to official coding guidelines and compliance practices, standards, and procedures.

Important Duties and Responsibilities:

• Conduct clinical documentation reviews and /or Audits as assigned meeting the productivity   standards as set by record type for each project or record type. The threshold for billable productive hours, when client work is available, is expected to be at 80%.

• Prepare deliverables for the client meeting timelines as set forth in the Client CDI or Audit Profile.
• Conduct independent QA of their assigned audit results prior to sending to Lead/QA Auditor for final review and approval.
• Report work time and work products in a timely and accurate manner.
• Communicates with coworkers in an open and respectful manner that promotes teamwork and knowledge sharing.
• Interact with clients in a professional manner that, at all times, exhibits excellent relationship, work performance and communication skill so as to support the company and its business interests.
• Provide schedule of planned work activities, events and sites, and any changes to same, to Management and appropriate staff.
• Maintenance of professional credentials and knowledge of CDI, coding, reimbursement and compliance issues through continuing education.
• Periodic travel, as required.
• Other duties and responsibilities, as assigned.

Qualifications

Desired Minimum Qualifications:

• Experience with telecommuting and electronic medical record systems required.
• Strong analytical skills.
• Works well with numbers, using basic math skills.
• Strong team player.
• Ability to work with multiple and diverse clients and projects.
• Ability to work with minimal supervision.
• Ability to maintain and access multiple files.
• Assure that work product is completed with high levels of accuracy and attention to detail.

Education & Experience:

• Recognized CDI credential from ACDIS (CCDS) or AHIMA (CDIP)
• Current clinical license- Registered Nurse
• Two or more years working as an Inpatient & Outpatient clinical documentation specialist
• Three years or more clinical experience in an acute care setting
• Associate’s Degree, prefer Bachelor’s Degree or Master’s Degree

All Team Members who are a part of CorroHealth are expected to behave in a way that is consistent with our Values.

We are United

• We come together, daily
• We have the brightest minds
• We share formidable Knowledge
• We celebrate our shared success

We are Drivers

• Open minded
• Boldly energetic
• Seeking new solutions
• Refuse Complacency

We are Partners

• Deliver results
• Earn trust
• Dive in and serve as expert advisors

We are Proud

• Believe in our work
• Engaged, exceptional Team Members propel us forward.

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Work Environment:

• Employee shall work in a non-hostile work environment.  That is, the employee is expected to not engage in, or be subjected to, any activity that unreasonably interferes with the performance of any other employee, such as sexual harassment, unlawful discrimination, or any other behavior that unduly demeans or intimidates another employee.
• Employee may be engaged in both on-site and remote assignments.  Remote assignments shall require that the employee utilize high-speed internet service and company provided computer and telephonic equipment.  The employee is solely responsible for the provision and maintenance of a secure work environment such that it reasonably protects the confidentiality and security of clients’ protected health information and all company information.
• While working remotely, the employee is solely responsible for the provision and maintenance of office furnishings and environmental controls.

PHYSICAL DEMANDS:

Note: Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions as described.

Regular eye-hand coordination and manual dexterity is required to operate office equipment. The ability to perform work at a computer terminal for 6-8 hours a day and function in an environment with constant interruptions is required. At times, Team Members are subject to sitting for prolonged periods. Infrequently, Team Member must be able to lift and move material weighing up to 20 lbs. Team Member may experience elevated levels of stress during periods of increased activity and with work entailing multiple deadlines.

A job description is only intended as a guideline and is only part of the Team Member’s function. The company has reviewed this job description to ensure that the essential functions and basic duties have been included. It is not intended to be construed as an exhaustive list of all functions, responsibilities, skills and abilities. Additional functions and requirements may be assigned by supervisors as deemed appropriate.

PHYSICAL DEMANDS:
Note: Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions as described. Regular eye-hand coordination and manual dexterity is required to operate office equipment. The ability to perform work at a computer terminal for 6-8 hours a day and function in an environment with constant interruptions is required. At times, Team Members are subject to sitting for prolonged periods. Infrequently, Team Member must be able to lift and move material weighing up to 20 lbs. Team Member may experience elevated levels of stress during periods of increased activity and with work entailing multiple deadlines.
A job description is only intended as a guideline and is only part of the Team Member’s function. The company has reviewed this job description to ensure that the essential functions and basic duties have been included. It is not intended to be construed as an exhaustive list of all functions, responsibilities, skills and abilities. Additional functions and requirements may be assigned by supervisors as deemed appropriate.