CDI Consultant
Core
Audit inpatient medical records, validate diagnosis and procedure codes, and ensure regulatory compliance and appropriate reimbursement across healthcare organizations.
Role type
Senior Clinical Documentation Improvement (CDI) Consultant
Builds
Accurate clinical documentation, compliant coding, and optimized reimbursement for healthcare clients
Domain
Healthcare / Clinical Documentation & Coding
Required skills
ICD-10-CM/PCS coding, MS-DRG/APR-DRG assignment, physician query development, clinical record auditing, healthcare regulations compliance, electronic health record navigation, audit documentation, productivity management
Preferred skills
Supervisory or management experience, CDI program infrastructure expertise, workflow optimization
Technologies
Epic, Cerner, Meditech, Microsoft Excel
Responsibilities
Audit inpatient medical records for coding accuracy and clinical validity; Develop compliant physician queries to address documentation gaps; Collaborate with physicians to validate DRG assignments; Prepare evidence-based audit findings using official coding guidelines; Maintain detailed audit documentation and workpapers; Support continuous improvement of CDI program effectiveness
Seniority
Senior, hands-on IC with leadership potential