Consultant – Clinical Documentation Integrity (CDI) – Healthcare

About the role

The Consultant at Berkeley Research Group (BRG) specializes in consulting healthcare providers, payers, investors, and other stakeholders. This role focuses on driving sustainable performance improvement and long-term growth through various strategies including strategic growth design, operating model transformation, AI and digital enablement, clinical quality and patient care optimization, and revenue strategy.

Responsibilities

• Apply strong understanding of clinical documentation and care delivery workflows, translating clinical practice into accurate documentation that supports coding, quality reporting, and case mix integrity across 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.
• Aid 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).
• 2-5 years of consulting experience with an RN or clinical background is required. RNs without consulting experience will not be considered.
• Experience working in an academic medical center preferred.
• Ideal candidates have worked in clinical operations, quality, PI, clinical transformation, or similar advisory areas.
• Demonstrated consulting skill set, including strong critical thinking, communication, presentation, and analytical capabilities.
• Demonstrated enthusiasm and aptitude for teaching and mentoring, with the ability to deliver education to clinicians, coders, and internal teams.
• Current CCDS, CCS, or CDIP certification, or willingness and ability to obtain one, is required.
• RHIA, RHIT, CRC, CPC, or other coding credentials are highly preferred.
• Strong understanding of DRG, MS-DRG, APR-DRG, and HCC methodologies.
• Experience using EMRs such as Epic, Meditech, Cerner, 3M 360, etc.
• Strong proficiency in MS Office (Word, PowerPoint, Excel, Outlook).
• Excellent time management skills and the ability to balance multiple priorities effectively.
• Desire to grow within the CDI consulting space while cross-collaborating with other IHS service lines is necessary.
• A self-starter with the ability to work effectively in an ambiguous, rapidly evolving consulting environment.

Pay

$90,000 – $135,000 per year

Schedule

Consistent travel (50% - 75%) may be required, depending on project requirements and client expectations.

Benefits

BRG offers competitive benefits packages tailored to each employee's needs. These may include health insurance, retirement plans, paid time off, and professional development opportunities.

Company Overview

At Berkeley Research Group (BRG), we combine world-leading academic credentials with world-class business expertise and purpose-built emerging technologies. Our culture is centered on agility and connectivity, setting us apart and getting you ahead. Our professionals include specialist consultants, industry experts, renowned academics, and leading-edge data scientists. Together, we 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 interdisciplinary relationships that lay the groundwork for more informed insights and 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.

About BRG

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.