Managing Consultant – Clinical Documentation Integrity (CDI) – Healthcare

Job description

We do Consulting Differently The Integrated Health Solutions (IHS) practice at Berkeley Research Group (BRG) provides end-to-end advisory support to healthcare providers, payers, investors, and other stakeholders navigating complex strategic, operational, financial, and clinical challenges. Led by seasoned healthcare executives, operators, and clinicians, IHS partners with organizations to drive sustainable performance improvement and long-term growth through strategic growth design, operating model transformation, AI and digital enablement, clinical quality and patient care optimization, and revenue strategy—helping clients build resilient, future-ready healthcare enterprises in an increasingly complex environment. Our four core service offerings include: Business Transformation Advisory Margin & Operational Improvement Quality Improvement & Clinical Care AI & Digital Solutions Clinical and Quality Transformation (CQT) helps providers improve care for their patients by implementing evidence-based leading practices to enhance clinical quality, operational efficiency, and care delivery. CQT’s broad-based engagements help providers transform how they deliver care through a combination of reduced complications and mortality, optimizing surgery quality and operations, improved throughput and length-of-stay reduction, improved emergency department performance, quality infrastructure enhancements, and more accurate clinical coding and documentation—helping organizations deliver better patient care and outcomes while most effectively utilizing their clinical resources and infrastructure. The Managing Consultant works closely with the client’s CDI team, supporting classroom education and mentoring. They are responsible for ensuring the successful transfer of CDI best practices from the consulting team to the client team. The Managing Consultant also facilitates accurate documentation for severity of illness (SOI) and quality in the medical record, which involves extensive record review and interaction with physicians, health information management professionals, coding professionals, and nursing staff. Managing Consultants are expected to demonstrate leadership, manage multiple projects, and contribute to business development and staff development initiatives. Willing to travel consistently (50% - 75%), depending on project requirements and client expectations, is required for this position. Responsibilities Demonstrate extensive knowledge of clinical documentation requirements, coding guidelines, and workflows applicable to inpatient and outpatient/physician settings. Conduct comprehensive inpatient medical record reviews for identified payer populations upon admission and throughout hospitalization. Serve as an educational resource to client CDI teams, delivering classroom education, hands-on teaching, and ongoing mentoring. Develop and deliver training to physicians, nurses, coding professionals, and ancillary staff on documentation best practices. Analyze clinical information to identify gaps in documentation related to SOI, POA, MS-DRG, APR-DRG, PSI, and quality measures. Formulate credible and compliant documentation clarifications. Work collaboratively with coding teams to ensure accuracy and completeness of documentation and diagnoses. Support clinical staff in understanding documentation needs through frequent interaction and coaching. Provide high-quality input for client deliverables and contribute to expert reports. Provide interim CDS support as needed. Assist in developing CDI and HIM training tools, methodologies, and education materials. Qualifications Bachelor’s degree in a related discipline preferred (RN, BSN, RHIA, RHIT, HIM, or similar). 4-8 years of experience as a CDI specialist, inpatient coder, physician coder, or CDI consultant (or a blend) is required. Prior consulting experience is highly preferred. Experience across multiple specialties and care settings; academic medical center exposure strongly preferred. Prior inpatient coding experience (ICD10CM/PCS); outpatient/physician coding a strong plus. Deep knowledge of documentation, coding, and compliance regulations. Strong understanding of DRG, MSDRG, APRDRG, and HCC methodologies. Desire to grow within the CDI consulting space while cross-collaborating with other IHS service lines is necessary. Strong ability and enthusiasm for teaching, mentoring, and delivering education to clients and internal teams. Current CCDS, CCS, or CDIP certification (or willingness to obtain) is required. RHIA, RHIT, CRC, CPC, or other coding credentials are highly preferred. Experience using EMRs such as Epic, Meditech, Cerner, 3M 360, etc. Ability to translate clinical and coding concepts into clear, actionable education. Excellent critical thinking, communication, presentation, and analytical skills. Strong proficiency in MS Office (Word, PowerPoint, Excel, Outlook). Excellent time management skills and ability to balance multiple priorities. A self‑starter with the ability to work effectively in an ambiguous, rapidly evolving consulting environment. Salary Range: $120,000 – $165,000 per year Job title and compensation will be determined based on qualifications and experience. Candidate must be able to submit verification of his/her legal right to work in the United States, without company sponsorship. About BRG BRG combines world-leading academic credentials with world-tested business expertise and purpose-built emerging technologies. Our culture centers on agility and connectivity which sets us apart and gets you ahead. At BRG, our professionals include specialist consultants, industry experts, renowned academics, and leading-edge data scientists. Together, they bring a diversity of real-world experience, data, and human and artificial intelligence, to economics, disputes, and investigations; corporate finance; and performance improvement services that address the most complex challenges facing organizations across the globe. Our unique structure nurtures the interdisciplinary relationships that give us the edge, laying the groundwork for more informed insights and more original, incisive thinking. When paired with our global reach and resources, our diverse perspectives and technical capabilities make us uniquely capable to address our clients’ challenges. We get results because we know how to apply our thinking to your world. At BRG, we don’t just show you what’s possible. We’re built to help you make it happen. BRG is proud to be an Equal Opportunity Employer. Our hiring practices provide equal opportunity for employment without regard to race, religion, color, sex, gender, national origin, age, United States military veteran status, ancestry, sexual orientation, marital status, family structure, medical condition including genetic characteristics or information, veteran status, or mental or physical disability so long as the essential functions of the job can be performed with or without reasonable accommodation, or any other protected category under federal, state, or local law.