Clinical Documentation Improvement - CDI - Senior Consultant - Travel

What can YOU do with the right information? At OptumInsight, the possibilities and the impact are limitless. You'll be empowered to ask more questions, develop better solutions and help make the health care system greater than ever. It's always fresh. It's always exciting.

As a CDI Senior Consultant you'll provide consulting services to strengthen and improve health care operations that result in stronger financial returns and a healthier health care system. You'll use your strong strategic and business acumen to work closely with clients to define, develop and document business requirements to ensure needs are captured and critical deliveries are executed. This consulting career gives you the opportunity to travel and share in a mission that inspires. You'll see your ideas come to life and your achievements recognized. You won't find tougher challenges. And you won't find smarter people working together to solve them. Join us and start doing your life's best work(sm) 

Primary Responsibilities:

• Ability to participate/lead evaluation/gap analysis of current clinical documentation improvement programs and provide written reports that describe our findings and recommendations for improvement


• Leveraging previous CDI experience to participate in ongoing refinement of CDI assessment and implementation methodology and approach, including: development of deliverable templates, workflows, training manuals/content; integration with technology


• Assist service offering leader with solution development and sales support of CDI through proposal development, responding to RFPs, development and delivery of client presentations


• Engagement participation and overall quality assurance of deliverables as an individual and as an engagement team


• Act as Project Lead during engagements as required by management/practice


• Participate in industry events and speaking engagements to promote CDI expertise and capabilities

• Must have either the CCDS/CDIP credential or be an RN/NP/MD/PA/RHIA/RHIT with prior CDI hospital based consulting experience to be considered


• Direct experience in working as a CDI Specialist or in development of CDI program in the acute care setting and understanding of CDI program infrastructure, workflow and reporting/metrics


• Prior healthcare consulting experience


• Experience in conducting gap analysis, identification of risk and opportunity and development of findings and recommendations, including development of a Road Map; CDIP gap analysis experience preferred but qualified candidates may have comparable experience with other similar initiatives


• Strong understanding of clinical, HIM, Quality and Case Management workflow


• Individual must be proficient in ICD-9-CM Diagnosis/Procedures Codes, MS-DRG reimbursement and clinical documentation requirements (coder credentials not required)


• Has facilitated physician education or has experience in working directly and communicating with physicians


• Ability to travel 70-80%