- Reviewing charts to ensure documentation is complete, accurate and reflects the severity of illness and resources used
- Identifying opportunities in the client's documentation that appropriately reflect quality of care and capture appropriate revenue for the complexity of patients treated
- Participating in team-based peer reviews
- Creating, editing and finalizing chart review findings that are shared with our clients
- Participating in multiple engagements
- Participating in limited remote client support activities
- Continuing to learn and grow CDI skills and knowledge
- Clinical credential RN or MD (open to LPN or Coders if they have the right level of experience)
- 3+ years in a healthcare setting with focus on physician-based documentation improvement and related issues is strongly preferred
- CPC (Certified Professional Coder), CRC (Certified Risk Adjustment), or CCS-P (Certified Coding Specialist- Physician Based) is strongly desired
- Experience in larger hospitals, healthcare systems and/or academic hospital settings is desired
- Prior consulting experience preferred
- Understanding and knowledge of clinical documentation improvement for ProFee, specifically the recent changes to the E/M guidelines which now more heavily rely on medical decision making (MDM)
- Experience with HCC reviews/audits and understanding of reporting guidelines
- Demonstrated written and verbal communication skills and the ability to manage and prioritize multiple projects
- Ability to team effectively with people of various disciplines and backgrounds is essential
- Demonstrated ability to work independently, exercise good judgment, and be resourceful
- Experience/knowledge of regulatory compliance issues facing the healthcare industry
- Client travel is not required for this role
- Travel up to 1-2 weeks a year as they would be expected to attend Firm Wide Annual Training in and any IP Clinical team training
- Preference is Eastern, Central or Mountain time zonesmust be available during standard business hours
- BSN, BA, MBA, MA or MS from an accredited college/university is desired
- Must be able to perform essential duties satisfactorily with reasonable accommodations
- Work is generally done sitting, talking, hearing and typing. Visual acuity to use a keyboard, prepare and analyze data and figures; transcribing, viewing a computer terminal; extensive reading
- Travel Required: Occasional 0-10%
- The role is remotely based
- Work is regularly performed in a combination of home office and client settings and routinely uses standard office equipment
- It may require the maintenance of a home office and proximity to an airport for work related travel
-
contracts review specialist ii
5 days ago
City of Chicago Chicago, United StatesCONTRACTS REVIEW SPECIALIST II · DEPARTMENT OF PLANNING & DEVELOPMENT · Bureau of Finance & Administration · Number of Positions: 2 · (additional vacancies possible pending budget approval) · Starting Salary: $64,668.00 · This position is open to the public and all current ...
-
contracts review specialist ii
5 days ago
City of Chicago Chicago, United StatesCONTRACTS REVIEW SPECIALIST II Job Number: · Description · BID/JOB ANNOUNCEMENT · CONTRACTS REVIEW SPECIALIST II · DEPARTMENT OF PLANNING & DEVELOPMENT · Bureau of Finance & Administration · Number of Positions: 2 · (additional vacancies possible pending budget approval) · Star ...
-
Contract Review Specialist II
1 day ago
VetJobs Chicago, United StatesJob Description · Under general supervision, performs procurement contract maintenance and support functions related to contract monitoring, research, preparation, and processing of contract development, contract modifications, extensions, limit increases, and price adjustments, ...
-
contracts review specialist ii
3 days ago
City Of Chicago Illinois Chicago, United StatesNumber of Positions: 2 (additional vacancies possible pending budget approval) Starting Salary: $64,668.00 This position is open to the public and all current City employees covered under the City's collective bargaining agreement with AMERICAN FEDER Contracts, Specialist, Vendor ...
-
Claro, Inpatient Chart Review Specialist
2 weeks ago
Kaufman Hall Chicago, United StatesThe OrganizationWe help society's foundational institutions—healthcare and higher education—to achieve their full potential in service to others.We are our clients' trusted partners in ever-changing times. For more than 30 years, Kaufman Hall has provided independent, objective i ...
-
Utilization Review Specialist
2 weeks ago
Compass Health Center Chicago, United StatesWeekly outpatient therapy isn't always enough, and a trip to the ER isn't the only answer. Patients and their families rely on Compass Health Center when in crisis - every day, we help people overcome depression, anxiety, suicidality, obsessions/compulsions, trauma, chronic pain, ...
-
Claro, ProFee Chart Review Specialist
1 week ago
Kaufman Hall Chicago, United StatesWe help societys foundational institutionshealthcare and higher educationto achieve their full potential in service to others.We are our clients trusted partners in ever-changing times. For more than 30 years, Kaufman Hall has provided independent, objective insights grounded in ...
-
Claro, Inpatient Chart Review Specialist
3 weeks ago
Kaufman Hall Chicago, United StatesThe Organization · We help society's foundational institutions—healthcare and higher education—to achieve their full potential in service to others. · We are our clients' trusted partners in ever-changing times. For more than 30 years, Kaufman Hall has provided independent, objec ...
-
Claro, Inpatient Chart Review Specialist
1 week ago
Kaufman Hall Chicago, United StatesThe Organization · We help societys foundational institutionshealthcare and higher educationto achieve their full potential in service to others. · We are our clients trusted partners in ever-changing times. For more than 30 years, Kaufman Hall has provided independent, objecti ...
-
Contracts Review Specialist Ii
5 days ago
City of Chicago Chicago, United States**Job Number**:398777** · **Description** · **BID/JOB ANNOUNCEMENT** · **CONTRACTS REVIEW SPECIALIST II** · **DEPARTMENT OF PLANNING & DEVELOPMENT** · **Bureau of Finance & Administration** · **Number of Positions: 2** · **(additional vacancies possible pending budget approval)** ...
-
Claro, ProFee Chart Review Specialist
3 weeks ago
Kaufman Hall Chicago, United StatesWe help society's foundational institutions—healthcare and higher education—to achieve their full potential in service to others. · We are our clients' trusted partners in ever-changing times. For more than 30 years, Kaufman Hall has provided independent, objective insights groun ...
-
Loan Documentation Review Specialist
2 weeks ago
Centier Bank Merrillville, United StatesMinimum Hourly Rate: · $19.00 · Recognizing and valuing diversity strengthens our ability to attract, retain and engage associates and reinforces our relationship within our communities. Our associates are the most valuable asset we have. The collective sum of the individual di ...
-
Northwestern Medicine Palos Heights, United StatesDescription · The RN Utilization Specialist reflects the mission, vision, and values of NM, adheres to the organization's Code of Ethics and Corporate Compliance Program, and complies with all relevant policies, procedures, guidelines and all other regulatory and accreditation ...
-
Northwestern Memorial Healthcare Palos Heights, United StatesJob Description · Job DescriptionCompany Description · At Northwestern Medicine, every patient interaction makes a difference in cultivating a positive workplace. This patient-first approach is what sets us apart as a leader in the healthcare industry. As an integral part of our ...
-
Loan Documentation Review Specialist
1 week ago
Centier Bank Merrillville, United StatesThis is a full-time position based out of our Merrillville, IN Corporate Centre. Normal department hours are Monday-Friday: 7:00 am-4:00 pm or 8:00 am-5:00 pm. · **A Centier Associate** is someone who embodies a servant heart, is unaccepting of anything less than remarkable servi ...
-
Loan Documentation Review Specialist
2 weeks ago
Centier Bank Merrillville, United StatesMinimum Hourly Rate: · $19.00 · Recognizing and valuing diversity strengthens our ability to attract, retain and engage associates and reinforces our relationship within our communities. Our associates are the most valuable asset we have. The collective sum of the individual diff ...
-
Northwestern Memorial Healthcare Palos Heights, United States Full timeCompany Description · At Northwestern Medicine, every patient interaction makes a difference in cultivating a positive workplace. This patient-first approach is what sets us apart as a leader in the healthcare industry. As an integral part of our team, you'll have the opportunit ...
-
Senior Liquidity Specialist
1 week ago
Huntington National Bank Chicago, United States Full timeDescription · Summary: · Liquidity Specialists coordinate the execution of the Commercial Liquidity Strategy at the sales level. Senior Specialist is the subject matter expert in Liquidity. Specialists uncover liquidity opportunities for the deal team (RMs/TMSAs) via DAO leads, ...
-
Staff Counsel
2 days ago
Foley & Lardner LLP Chicago, United StatesOverview · The Staff Counsel ("SC") is a staff lawyer in the firm's Office of the General Counsel ("OCG") dedicated to supporting the firm's contracting activities as a business. This position is in-house and does not involve the delivery of services to the firm's clients; rathe ...
-
Senior Safety Specialist
5 days ago
Metropolitan Water Reclamation District of Greater Chicago Chicago, United StatesGeneral Statement · Under general supervision, plans and coordinates the safety program throughout the District. Essential Job Functions · Essential job functions are fundamental, core functions common to positions in a classification. They are not intended to be an exhaustiv ...
Claro, ProFee Chart Review Specialist - Chicago, United States - Kaufman Hall
![Default job background](https://contents.bebee.com/public/img/bg-user-ex-1.jpg)
Description
ProFee Chart Review SpecialistThe Organization
We help society's foundational institutions-healthcare and higher education-to achieve their full potential in service to others.
We are our clients' trusted partners in ever-changing times. For more than 30 years, Kaufman Hall has provided independent, objective insights grounded in sound data and analysis to help clients fulfill their missions, achieve their goals, and tackle their toughest problems.
Kaufman Hall provides world-class management consulting in strategic financial planning (a concept we created); performance improvement; partnerships, mergers, and acquisitions; and treasury and capital markets. Kaufman Hall's consulting is supported by a deep foundation of benchmarking and software tools.
At Kaufman Hall, we believe that sustained success is never an accident. It is the result of sound decision making, based on data-driven analysis and disciplined thinking, and guided by the fundamental principles of corporate finance.
The Position
The Claro Healthcare practice is looking for remote CDI Clinicians to join our team-based environment and be responsible for conducting CDI ProFee chart reviews as part of our project-based consulting engagements. Specific responsibilities include:
Qualifications
The ideal candidate will possess:
Education