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Deloitte

Audits companies and advises on tax and technology

Manager – Clinical Documentation Specialist

Medical, Clinical & VeterinaryPosted on Nov 12
Full-timeBaltimore, MD, USA

About the Job

Requirements

  • A bachelor's degree in nursing, medical degree, or physician assistant degree, and current clinical licensure in the applicable discipline.
  • Certified Clinical Documentation Specialist (CCDS) or Clinical Documentation Improvement Practitioner (CDIP) certification.
  • At least 7 years of experience in acute inpatient settings and clinical documentation improvement, utilization review, case management, health information management, coding, or physician advisor functions, including experience leading teams, workstreams, or client engagements.
  • Experience reviewing inpatient medical records and electronic medical record platforms such as Epic or Cerner to identify documentation gaps and support coding accuracy, regulatory compliance, and reimbursement.
  • Experience using clinical documentation, coding, and quality metrics, including Medicare Severity Diagnosis Related Groups (MS-DRG), All Patient Refined Diagnosis Related Groups (APR-DRG), patient safety indicators, hospital-acquired conditions, present on admission indicators, and risk adjustment measures.
  • Prior consulting, advisory, or multi-client engagement experience, preferably within a professional services or healthcare consulting environment.
  • Experience with physician query practice, denials and appeals, DRG validation or reconsideration, or payer audit support, including Recovery Audit Contractor (RAC), Office of Inspector General (OIG), or commercial audits.
  • Ability to travel up to 50%, on average, based on the work and the clients and industries or sectors served.
  • Must be legally authorized to work in the United States without the need for employer sponsorship, now or at any time in the future.
  • Ability to work independently and collaborate as part of a team.
  • Effective written and verbal communication skills.
  • Meticulous attention to detail and quality of work product.
  • Ability to build and sustain professional relationships.
  • Ability to lead projects or workstreams.
  • Ability to manage and prioritize multiple tasks in a fast-paced and dynamic environment.
  • Strong interpersonal skills and professional demeanor.
  • Ability to meet deadlines.
  • Ability to mentor and provide clear guidance to others.
  • Experience staffing, developing, and providing performance feedback to project team members.
  • Ability to support business development activities, including proposals and client pursuits.

Responsibilities

  • Lead clinical documentation improvement assessments, documentation reviews, and regulatory compliance analyses across inpatient service areas.
  • Direct teams in evaluating medical records, diagnoses, treatments, and follow-up documentation to identify gaps, support coding accuracy, and improve reimbursement and quality outcomes.
  • Develop and deliver education programs for physicians, clinical documentation improvement teams, health information management teams, and ancillary staff to improve documentation standards and adoption.
  • Interpret clinical, coding, reimbursement, and quality analytics, and present benchmarks, trends, risks, and recommendations to physician leaders, executives, and other stakeholders.
  • Manage client relationships, project workstreams, and team members to implement documentation improvement action plans, track progress, and report program outcomes.

Desired Qualifications

  • A master's degree in Clinical Informatics, Business Administration, Nursing, or another health field.
  • Case management or medical coding certification, including Certified Risk Adjustment Coder (CRC), Certified Coding Associate (CCA), Certified Coding Specialist-Physician-based (CCS-P), Certified Coding Specialist (CCS), Certified Professional Coder (CPC), or Certified Case Manager (CCM).
  • Experience as a registered nurse, physician, physician assistant, case manager, clinical documentation specialist, utilization review professional, informatics nurse, quality professional, diagnosis related group validation professional, or health information technology professional.
  • Experience with Medicare reimbursement, Current Procedural Terminology (CPT), International Classification of Diseases, Tenth Revision, Clinical Modification/Procedure Coding System (ICD-10-CM/PCS), Inpatient Prospective Payment System, APR-DRG, MS-DRG, or hierarchical condition category assignment.
  • Experience in quality measurement, quality improvement, value-based payment models, charge capture reviews, or coding compliance reviews.
  • Experience managing programs or projects for technology implementations using third-party software, or process excellence methods such as Lean or Six Sigma.

About the Company

Deloitte

Audits companies and advises on tax and technology

Deloitte audits companies and advises businesses and governments on tax, technology, and risk, and it is one of the Big Four, the world's four largest accounting firms. In 1849 its founder became the first independent auditor of a public company, Britain's Great Western Railway. Its auditors check companies' financial reports for errors and fraud before investors rely on them, while its consultants design strategy, install business software, and defend clients against cyberattacks. Clients pay fees for each audit or project, and each country's Deloitte firm is a separate business owned by its local partners. Deloitte was founded in London in 1845 and is based in New York.

Company size
10,001+
Company stage
Late Stage VC
Total funding
$17.1M
Headquarters
New York, NY
Founded
1845

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