International CDI/Coding Consultant
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Key skills for this role
About the Role
The role involves reviewing clinical documentation for accuracy and compliance, applying coding knowledge, and conducting training for healthcare teams.
Key Skills for This Role
Responsibilities
- Conduct retrospective chart reviews (inpatient and/or outpatient) to assess accuracy, completeness, and specificity of clinical documentation.
- Apply knowledge of ICD 10 code sets, procedure code sets and DRG classification systems to identify documentation and coding gaps.
- Shadow physicians, coders, and CDI staff to understand current workflows and documentation practices.
- Interview key stakeholders to gather insights into existing documentation challenges.
- Evaluate the effectiveness of hospitals' CDI processes and identify areas for improvement.
- Develop structured queries and feedback where clarification or additional documentation is needed.
- Compile audit findings into clear, actionable reports including identified gaps, risks, and recommendations.
- Conduct knowledge transfer sessions to educate client teams on best practices in documentation and compliance.
- Maintain strict confidentiality and data security in handling patient records and hospital information.
- Participate in aggregating data trends and audit findings to prepare management and executive level summation reports.
Requirements
- Knowledge of ICD 10 code sets, procedure code sets and DRG classification systems
- Medical terminology and review of procedures
- Experience in clinical documentation improvement or coding
- Willingness to travel globally 50 75% of the time
Full Job Posting
The Impact You'll Make in this Role
- The CDI/Coding Consulting Specialist is responsible for conducting a review of clinical documentation to ensure completeness, accuracy, and compliance with coding and regulatory standards. The goal is to support accurate code and DRGs assignments.
Key Responsibilities
- Conducting retrospective chart reviews (inpatient and/or outpatient) to assess accuracy, completeness, and specificity of clinical documentation
- Applying knowledge of ICD 10 code sets, procedure code sets and DRG classification systems to identify documentation and coding gap
- Applying medical terminology and review of procedures to assess clinical documentation opportunities
- Shadowing physicians, coders, and CDI staff to understand current workflows and documentation practices
- Interviewing key stakeholders (e.g., CDI team, coding team, clinicians, department heads) to gather insights into existing documentation challenges
- Evaluating the effectiveness of hospitals CDI processes and identify areas for improvement
- Developing structured queries and feedback where clarification or additional documentation is needed
- Compiling audit findings into clear, actionable reports including identified gaps, risks, and recommendations
- Conducting knowledge transfer sessions to educate client teams on best practices in documentation and compliance
- Collaborating with the project management team to ensure consistency and quality across project engagements
- Maintain strict confidentiality and data security in handling patient records and hospital information
- Participate in aggregating data trends and audit findings to prepare management and executive level summation reports
Qualifications
- Knowledge of ICD 10 code sets, procedure code sets and DRG classification systems
- Medical terminology and review of procedures
- Experience in clinical documentation improvement or coding
- Willingness to travel globally 50 75% of the time
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