Claro, ProFee Chart Review Specialist - Chicago, United States - Kaufman Hall

Description

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:

• 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

While the primary focus will be on supporting the chart review efforts, other job duties may include building education decks, answering clinical questions, doing research or on rare occasions mentoring or teaching our clients.

Qualifications

The ideal candidate will possess:

• 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 zones -- must be available during standard business hours

Applicants for employment must have work authorization that does not now or in the future require sponsorship of a visa for employment authorization in the United States and with Kaufman Hall (i.e., H1-B visa, F-1 visa (OPT), TN visa or any other non-immigrant status).

Education

• BSN, BA, MBA, MA or MS from an accredited college/university is desired

Physical Requirements

• 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

Kaufman Hall is committed to providing equal opportunity for all employees and applicants. We recruit, hire, train, promote, pay, and administer all employment actions without regard to actual and also perceived or assumed protected group status as defined by law of an individual or that individual's associates or relatives. Our policies and the law prohibit employment discrimination against any employee or applicant on the basis of any legally protected status.

Are you legally eligible to work in the United States without sponsorship?* Yes No

Will you ever require Kaufman Hall's support in an application for employment authorization in the United States?* Yes No

Have you interviewed with one of the Kaufman Hall companies?* Yes No

How did you learn about this position?*

What is your targeted salary range?*

Did any of our employees inform you about this position? If so, who?*

Would you like to tell us anything else about you?

The following questions are entirely optional. To comply with government Equal Employment Opportunity and/or Affirmative Action reporting regulations, we are requesting (but NOT requiring) that you enter this personal data. This information will not be used in connection with any employment decisions, and will be used solely as permitted by state and federal law. Your voluntary cooperation would be appreciated. Learn more .

Invitation for Job Applicants to Self-Identify as a U.S. Veteran

• A "disabled veteran" is one of the following:
  • a veteran of the U.S. military, ground, naval or air service who is entitled to compensation (or who but for the receipt of military retired pay would be entitled to compensation) under laws administered by the Secretary of Veterans Affairs; or
  • a person who was discharged or released from active duty because of a service-connected disability.
• A "recently separated veteran" means any veteran during the three-year period beginning on the date of such veteran's discharge or release from active duty in the U.S. military, ground, naval, or air service.
• An "active duty wartime or campaign badge veteran" means a veteran who served on active duty in the U.S. military, ground, naval or air service during a war, or in a campaign or expedition for which a campaign badge has been authorized under the laws administered by the Department of Defense.
• An "Armed forces service medal veteran" means a veteran who, while serving on active duty in the U.S. military, ground, naval or air service, participated in a United States military operation for which an Armed Forces service medal was awarded pursuant to Executive Order

Voluntary Self-Identification of Disability

Voluntary Self-Identification of Disability Form CC-305
OMB Control Number
Expires 04/30/2026

Why are you being asked to complete this form?

We are a federal contractor or subcontractor. The law requires us to provide equal employment opportunity to qualifiedpeople with disabilities. We have a goal of having at least 7% of our workers as people with disabilities. The law says wemust measure our progress towards this goal. To do this, we must ask applicants and employees if they have a disabilityor have ever had one. People can become disabled, so we need to ask this question at least every five years.

Completing this form is voluntary, and we hope that you will choose to do so. Your answer is confidential. No one whomakes hiring decisions will see it. Your decision to complete the form and your answer will not harm you in any way. If youwant to learn more about the law or this form, visit the U.S. Department of Labor's Office of Federal Contract CompliancePrograms (OFCCP) website at .

How do you know if you have a disability?

A disability is a condition that substantially limits one or more of your "major life activities." If you have or have ever hadsuch a condition, you are a person with a disability. Disabilities include, but are not limited to:

• Alcohol or other substance usedisorder (not currently usingdrugs illegally)
• Blind or low vision
• Cancer (past or present)
• Cardiovascular or heartdisease
• Celiac disease
• Cerebral palsy
• Deaf or serious difficultyhearing
• Diabetes
• Disfigurement, for example,disfigurement caused by burns,wounds, accidents, or congenitaldisorders
• Epilepsy or other seizure disorder
• Gastrointestinal disorders, for example,Crohn's Disease, irritable bowelsyndrome
• Mental health conditions, for example,depression, bipolar disorder, anxietydisorder, schizophrenia, PTSD
• Missing limbs or partially missing limbs
• Mobility impairment, benefiting from theuse of a wheelchair, scooter, walker,leg brace(s) and/or other supports
• Nervous system condition, for example,migraine headaches, Parkinson'sdisease, multiple sclerosis (MS)
• Neurodivergence, for example,attention-deficit/hyperactivity disorder(ADHD), autism spectrum disorder,dyslexia, dyspraxia, other learningdisabilities
• Partial or complete paralysis (anycause)
• Pulmonary or respiratory conditions, forexample, tuberculosis, asthma,emphysema

YES, I HAVE A DISABILITY, OR HAVE HAD ONE IN THE PAST NO, I DO NOT HAVE A DISABILITY AND HAVE NOT HAD ONE IN THE PAST I DO NOT WANT TO ANSWER

PUBLIC BURDEN STATEMENT: According to the Paperwork Reduction Act of 1995 no persons are required to respond to a collection of information unless such collection displays a valid OMB control number. This survey should take about 5 minutes to complete.

Name Date

Human Check*

I consent to be contacted over SMS/Text for this job.