Outpatient Clinical Consultant

October 29

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Kaufman Hall

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Cost Accounting • Budgeting & Forecasting • Debt Financing • Capital Management • Capital Planning & Tracking

201 - 500 employees

Founded 30

📚 Education

💰 Private Equity Round on 2014-12

Description

• Partner with clients in all phases of Outpatient CDI and charging engagements • Participate in multiple engagements with strong teamwork and time management required • Must have deep understanding and contributions for outpatient facility documentation, coding, and/or charging • Leading clinical/coding focused tasks during assessment, implementation, and monitoring phases of projects • Reviewing retrospective claims, conducting charge capture and coding reviews/validations, and reviewing/validating EMR documentation • Reviewing medical records for complete and accurate documentation to reflect the severity of illness and resources used • Identifying opportunities for improved documentation in the medical record to more accurately reflect the acuity and complexity of the patient and the care provided • Participating in team-based peer chart and claims reviews • Writing, editing and finalizing chart review findings that are shared with our clients • Performing clinical documentation, coding and charging guideline training/education via virtual and/or in person presentations and department discussions • Working collaboratively with team members to achieve overall specificity, accuracy, and completeness of clinical documentation to support the highest integrity of the medical record

Requirements

• Experience in clinical, coding, revenue integrity and/or clinical documentation improvement • Clinical experience: RN/BSN/MSN • Coding experience: RHIT/RHIA/COC/CPC • Revenue Integrity and Clinical Documentation Certifications: CHRI/CRIP/CCDS/CDEO • Understanding of Charge Description Master (CDM) data • Demonstrated written and verbal communication skills and the ability to manage and prioritize multiple projects • Ability to team effectively with people of various disciplines and backgrounds • Demonstrated ability to work independently, exercise good judgment, and be resourceful • Demonstrated ability for developing strong working relationships with key stakeholders and/or clients • Experience/knowledge of regulatory compliance issues facing the healthcare industry • Microsoft suite of business software, specifically Excel and PowerPoint • Ability to travel regularly for project assignments is required (up to 50% travel)

Benefits

• Great benefit package • Bonus incentives