Lead Consultant, Healthcare Performance Improvement - Clinical Documentation Integrity

• Conduct CDI program assessments and evaluate workflows to identify improvement opportunities.
• Identify documentation gaps impacting CC/MCC, SOI/ROM, HCCs, and DRG assignment.
• Recommend and implement strategies to improve documentation quality, compliance, and coding accuracy.
• Develop and maintain CDI policies, procedures, and best practices.
• Review clinical documentation and diagnostic data to identify missed severity and risk adjustment opportunities.
• Collaborate with coding teams to ensure accurate code assignment and analyze audit trends to support mitigation strategies.
• Deliver education for clinicians and CDI specialists on documentation standards, query compliance, DRG impacts, and record review best practices.
• Create tailored educational resources, including tools, job aids, and reference materials.
• Analyze CDI performance metrics such as CMI, DRG shifts, query response rates, and reconciliation accuracy.
• Develop dashboards and reports to present actionable insights to executives and clinical leaders.
• Manage client workstreams, updates, and deliverables, ensuring timely, high-quality outcomes.
• Prepare proposals, executive summaries, and project documentation.

• Bachelor's degree in a healthcare-related field
• 5+ years of related healthcare experience, including 2+ years in Clinical Documentation Improvement
• Hands-on experience with CDI or Electronic Health Record (EHR) documentation platforms
• Strong knowledge of DRG methodology, CC/MCC structure, and Hierarchical Condition Categories (HCCs)
• Proficiency in Microsoft Excel and ability to interpret clinical data
• Willingness to travel up to 60%, based on client needs

• Master's Degree
• Registered Nurse
• Prior Consulting experience
• Experience leading CDI program redesign or expansion
• Familiarity with quality reporting and risk adjustment metrics
• CCDS, CDIP, or equivalent certification

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About Forvis Mazars, LLP

Forvis Mazars, LLP is an independent member of Forvis Mazars Global, a leading global professional services network. Ranked among the largest public accounting firms in the United States, the firm’s 7,000 dedicated team members provide an Unmatched Client Experience® through the delivery of assurance, tax, and consulting services for clients in all 50 states and internationally through the global network. Visit forvismazars.us to learn more.

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