Managing Consultant – Clinical Documentation Integrity, Healthcare

Berkeley Research Group (BRG)

. Work closely with the client’s CDI team, supporting classroom education and mentoring .

Posted 10/1/2026full-timeRemote • United StatesMid-LevelSenior💰 $120,000 - $165,000 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates extensive knowledge of clinical documentation requirements, coding guidelines, and compliance regulations, with a strong ability to educate and mentor healthcare professionals. Proficient in conducting medical record reviews and analyzing clinical information to ensure accurate documentation and quality measures.

Highest-signal resume keywords

CDI Specialist ExperienceInpatient Coding (ICD10CM/PCS)Current CCDS, CCS, or CDIP CertificationExperience with EMRs (Epic, Meditech, Cerner)Strong Teaching and Mentoring Skills

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Clinical Documentation ImprovementCoding Guidelines KnowledgeDocumentation AnalysisMedical Record ReviewDRG, MSDRG, APRDRG MethodologiesCompliance RegulationsDocumentation ClarificationsQuality Measures AnalysisTraining DevelopmentProject Management

Soft Skills

Critical ThinkingCommunication SkillsPresentation SkillsAnalytical SkillsTime Management

Tools & Technologies

MS Office (Word, PowerPoint, Excel, Outlook)EMRs (Epic, Meditech, Cerner, 3M 360)

Certifications & Qualifications

CCDSCCSCDIPRHIARHITCRCCPC

Industry Keywords

Clinical DocumentationInpatient and Outpatient CodingHealthcare ConsultingPayer PopulationsSeverity of Illness (SOI)Quality ImprovementHealth Information Management (HIM)Consulting ExperienceAcademic Medical Center ExposureCross-Collaboration

About the role

Key responsibilities & impact

Work closely with the client’s CDI team, supporting classroom education and mentoring
Ensure successful transfer of CDI best practices from the consulting team to the client team
Facilitate accurate documentation for severity of illness (SOI) and quality in the medical record
Interact with physicians, health information management professionals, coding professionals, and nursing staff
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 through 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 documentation gaps related to SOI, POA, MS-DRG, APR-DRG, PSI, and quality measures
Formulate credible and compliant documentation clarifications
Collaborate with coding teams to ensure accuracy and completeness of documentation and diagnoses
Support clinical staff 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
Demonstrate leadership, manage multiple projects, and contribute to business development and staff development initiatives
Travel consistently (25%) depending on project requirements and client expectations

Requirements

What you’ll need

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
Candidate must be able to submit verification of his/her legal right to work in the United States, without company sponsorship