Clinical Documentation Specialist
Category: HC
Reference ID: a1qPL000007431hYAA
Shortcut: http://harmonyhealthcare.gosnaphop.com/zJbyNa
Seeking an Inpatient CDI Consultant to support consulting team on a client engagement. The consultant will work primarily behind the scenes performing concurrent and retrospective record reviews to validate clinical findings, documentation, and DRG assignment. The Impact team will remain the primary client-facing resource, though the consultant may occasionally participate in provider or team discussions as needed.
Responsibilities:
- Perform concurrent, retrospective, and second level reviews of inpatient records in Solventum (3M) and Epic
- Identify documentation gaps impacting MS-DRG reimbursement, quality, severity, and coding accuracy
- Identify inaccurate CC/MCC documentation gaps and articulate root causes
- Validate diagnoses, procedures, and clinical indicators against documentation
- Advise client on best-practice use of Solventum workflows including queries, case prioritization strategies, productivity reporting, query impact reporting, and query completeness / effectiveness
- Assist in validating query compliance and provider communication methods for inpatient CDI specialist teams and inpatient coding teams
- Assist in developing new compliant query language and query templates
- Support targeted provider education on high?impact diagnoses
Education and Experience
- Education: Bachelor's degree in a relevant field
- Experience: 5+ years
- Certifications / Licenses (preferred not required):
- CCDS, CCDS-O, or CDIP Certification
- Familiarity with CDI productivity and quality reporting.
- Familiarity with Epic Inpatient CDI and Coding Modules
Skills and Competencies
- Strong clinical judgment
- Clear written communication
- Provider?focused collaboration
- High attention to detail
- Strong knowledge of CMS Base DRG and MS-DRG diagnosis framework
- Comfort working independently in a part?time capacity
- Comfort working remotely and in a hybrid setting for client-facing work
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