Our Deloitte Regulatory, Risk & Forensic team helps client leaders translate multifaceted risk and an evolving regulatory environment into defensible actions that strengthen, protect, and transform their organization. Join our team and use advanced data, AI, and emerging technologies with industry insights to help clients bring clarity from complexity and accelerate their path to value creation.
Recruiting for this role ends on 01-Sep-2026.
Work you'll do
As a Senior Consultant in our Regulatory, Risk, & Forensic Healthcare Practice, you will work on multiple projects leveraging your education and prior work experience to help clients make more confident decisions that drive performance. You will help clients embrace change, grow their business, accelerate performance, and navigate periods of crisis or controversy.
Projects may include:
- Operational Improvement: Improve efficiency and business outcomes for processes with significant clinical documentation and regulatory requirements through process improvement, technology innovation, and operating model evolution.
- Clinical Payments Optimization: Assist clients by validating that payments for clinical healthcare services comply with regulatory, clinical evidence, and contractual requirements.
- Strategic Risk: Help senior healthcare executives plan for, assess, manage, and respond to regulatory, clinical documentation, and operational risks.
- Regulatory Response: Support clients with regulatory and operational challenges, including identifying, remediating, monitoring, and managing enterprise risks.
A Clinical Documentation Specialist works to ensure accuracy and completeness of clinical documentation and identify opportunities for accurate documentation to appropriately reflect patient severity and acuity.
Job duties and responsibilities
- Analyze medical records for inpatient and outpatient service areas for accuracy of coding and documentation to ensure regulatory compliance
- Apply knowledge of medical terminology, disease conditions, and procedures to evaluate clinical documents
- Monitor diagnoses, treatments, and follow-up entries in medical records to support coding accuracy
- Identify gaps in clinical documentation and request missing information from appropriate providers
- Develop and implement formal and informal education plans for physicians, CDI teams, health information management staff, and other clinical staff
- Develop in-service education tools and assist with physician and staff education as needed
- Train CDI teams, physicians, and other medical staff on documentation processes to ensure consistency and accuracy
- Interpret and prepare clinical reports for healthcare professionals, executives, and stakeholders
- Meet with healthcare stakeholders to explain findings and facilitate actions based on recommendations
- Participate in executive meetings to explain CDI benchmarks, KPIs, analytics, and dashboards
- Monitor provider education and support presentations, conferences, web conferences, and facility meetings
- Create and deliver presentations at local and national conferences and client meetings
- Stay current with advances and regulatory changes related to coding, clinical documentation, and health information technology
- Bachelor's degree in nursing, medical degree, or physician assistant required
- Current Registered Nurse (RN) license required
- Certified Clinical Documentation Specialist (CCDS) inpatient certification required
- Minimum of 3 years of experience in acute inpatient settings
- Extensive experience collecting, interpreting, and communicating medical information with recommendations and action plans
- Knowledge of care delivery documentation systems and related medical record documents
- Knowledge of age-specific needs and the elements of disease processes and related procedures
- Strong broad-based clinical knowledge and understanding of pathology/physiology of disease processes
- Strong analytical skills
- Ability to stay current with advancements and regulations in medical coding and clinical documentation
- Proficiency in MS Word, Excel, and PowerPoint preferred
- Proficiency in EMR software such as Epic, Cerner, or Allscripts required
- Excellent verbal and written communication skills, including small and large group presentations
- Ability to work independently and with multiple teams in a time-sensitive environment
- Ability to travel 50-70% on average
- Must be legally authorized to work in the United States without employer sponsorship
Preferred qualifications
- Master's degree in Clinical Informatics, Business Administration, Nursing, or a related health field preferred
- Case Management or Medical coding certification a plus (CRC, CCA, CCS-P, CCS, CPC, CDIP, CCM)
- Experience as a clinical registered nurse, physician, physician assistant, case manager, clinical documentation specialist, utilization review, informatics RN, quality, DRG validation, or health IT preferred
- Knowledge of Medicare reimbursement system and coding structures preferred
- In-depth knowledge and experience in medical terminology, medical coding, ICD-10-CM/PCS, and IPPS payment system
- Experience in quality measurement, quality improvement, and value-based payment models
- Proven applicable CPT and ICD-10 coding experience; APR-DRG, MS-DRG, and HCC assignment
- Revenue cycle experience including charge capture and coding reviews for compliance with billing and coding regulatory requirements
- Experience in program and/or project management for technology implementations using third-party software
- Knowledge of process excellence methodologies such as Six Sigma, LEAN, or Design Excellence preferred
- Experience training, educating, and coaching
Location
Chicago, Illinois, US
Employment Type
Full-time
Experience Level
Senior
Salary Range
$110,700 - $218,300
Remote work allowed
No
Posted
1 month ago