Clinical/Coding Specialist, Consultant

Summary

Join Kaufman Hall as an Outpatient, Clinical/Coding Specialist Consultant! This remote role requires a deep understanding of outpatient facility documentation, coding, and charging. You will lead clinical/coding tasks, review claims and medical records, identify documentation improvement opportunities, and participate in team reviews. Strong communication and collaboration skills are essential, along with experience in a consulting or healthcare setting. An Associate's degree is required, with a Bachelor's or Master's degree preferred. This position offers occasional travel to Chicago but is primarily remote.

Requirements

• Clinical/Coding experience
• Associate’s degree
• 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
• Applicants for employment must have work authorization that does not now or in the future require sponsorship of a visa for employment authorization in the United States and with Kaufman Hall

Responsibilities

• Lead 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 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

Preferred Qualifications

• Clinical/Coding experience of one or more of the following: RN/BSN/MSN, RHIT, RHIA, COC, CPC, CHRI, and/or CCDS certifications
• Three or more years of experience in a consulting/professional services setting or provider healthcare setting with focus on healthcare revenue integrity/outpatient facility documentation, coding, and/or charging and related issues
• Bachelor’s or master’s degree from an accredited college/university

Benefits

The role is remotely based