Consultant – Clinical Documentation Integrity (CDI) – Healthcare

TL;DR

Consultant – Clinical Documentation Integrity (CDI) – Healthcare: Applying clinical expertise to review medical records, ensure accurate documentation for coding, quality reporting, and case mix integrity across inpatient and outpatient settings with an accent on severity of illness, present on admission, and DRG methodologies. Focus on educating client teams, formulating compliant clarifications, and mentoring physicians, nurses, and coders to optimize documentation practices and clinical outcomes.

Location: Remote (USA). Willing to travel consistently (50% - 75%), depending on project requirements. Candidate must be able to submit verification of legal right to work in the United States, without company sponsorship.

Salary: $90,000 – $135,000 per year

Company

hirify.global (BRG) provides advisory support to healthcare providers, payers, and investors through strategic growth, operational transformation, clinical quality optimization, and AI/digital solutions.

What you will do

• Conduct comprehensive inpatient medical record reviews for payer populations to identify documentation gaps related to SOI, POA, MS-DRG, APR-DRG, PSI, and quality measures.
• Serve as educational resource to CDI teams, delivering classroom education, hands-on teaching, and mentoring to physicians, nurses, coders, and staff.
• Formulate compliant documentation clarifications and collaborate with coding teams for accuracy.
• Support clinical staff through interaction, coaching, and interim CDS coverage.
• Develop training tools, methodologies, and materials for CDI and HIM.
• Provide input for client deliverables and expert reports.

Requirements

• Bachelor’s degree in related discipline preferred (RN, BSN, RHIA, RHIT, HIM, or similar).
• 2-5 years of 5 years years of 5-5 years of consulting experience with RN or clinical background required; RNs without consulting experience will not be considered.
• Current CCDS, CCS, or CDIP certification, or willingness and ability to obtain one, required.
• Strong understanding of DRG, MS-DRG, APR-DRG, and HCC methodologies.
• Experience using EMRs such as Epic, Meditech, Cerner, 3M 360.
• Demonstrated consulting skills: critical thinking, communication, presentation, analytical capabilities.

Nice to have

• Experience working in an academic medical center.
• Worked in clinical operations, quality, PI, clinical transformation, or advisory areas.
• RHIA, RHIT, CRC, CPC, or other coding credentials.
• Enthusiasm for teaching and mentoring.

Culture & Benefits

• Agility and connectivity-focused culture with interdisciplinary collaboration.
• Work with specialist consultants, industry experts, academics, and data scientists.
• Global reach addressing complex challenges in healthcare and beyond.