You OpportunityWe are seeking a CDI Consultant that is clinically-informed, coder-certified and responsible for driving documentation quality and provider education at the practice level. This role sits at the intersection of clinical knowledge, risk adjustment expertise, and coding accuracy, serving as a trusted resource for providers, a frontline education delivery channel for the CDI team, and a concurrent reviewer of clinical documentation. The CDI Consultant develops and delivers targeted education, contributes to clinical content libraries leveraged across the organization, and supports the vetting of CDI technology and AI suspecting tools. This role operates with significant autonomy in the field, requires strong clinical credibility, and is held to the same coding accuracy standards as the broader CDI department. The CDI Consultant reports directly to the VP, CDI & Coding Operations with a dotted-line to clinical leadership.What You Will DoProvider Education & Practice EngagementDeliver targeted, intervention-based education with prioritization driven by practice performance dataFacilitate one-on-one provider education sessions, including DSP documentation coaching, ICD-10-CM specificity guidance, and clinical scenario-based learningParticipate in Pod meetings, RMO sessions, and practice-facing touchpoints to deliver vignette-style CDI education and reinforce documentation best practicesDesign and maintain practice-specific education plans based on coding data, RAF trend analysis, and recapture opportunity outputsSupport provider understanding of point-of-care tools, suspect delivery outputs, and documentation expectations tied to CDI (Clinical Documentation Integrity) program goalsRespond to education needs and engagement escalations for practices with persistent documentation gapsMonitor performance against practice-specific education plans, and propose and act upon improvement plansLead provider-facing webinars and educational sessionsClinical Content DevelopmentBuild and maintain the CDI clinical content library, including condition-specific advisories, documentation tip sheets, and slide-ready education modules, for use by RMO and CDI staffDevelop specialty-specific and prevalence-adjusted educational materials that align with CMS documentation standards and reflect real clinical scenariosCollaborate with the VP, CDI & Coding Operations and QA Lead to ensure all clinical content reflects current coding guidelines and risk adjustment requirementsSupport the creation of provider-facing survey content, webinars, and self-service education resources within the CDI SharePoint knowledge hubConcurrent & Documentation ReviewConduct concurrent documentation reviews, evaluating clinical support for active diagnoses and identifying documentation gaps prior to or following encountersReview coding outputs against clinical documentation to assess accuracy, specificity, and completeness; flag discrepancies for QA escalation or provider follow-upApply MEAT criteria in documentation review; identify conditions requiring addendum, query, or provider educationContribute to the development of concurrent review workflows and eligibility criteria in coordination with the CDI Operations Lead and VPCross-Functional Collaboration & ReportingPartner with RMOs, market medical directors, and practice-facing staff to align education delivery with population health and performance prioritiesCoordinate with the CDI Operations Lead for EMR access needs, and workflow logistics for education and review activitiesTrack and report on education delivery, concurrent review activity, and provider engagement outcomes against established benchmarksEscalate compliance concerns, coding accuracy issues, and documentation risks to the VP, CDI & Coding Operations in a timely mannerWhat Will Make You Successful HereEducationBachelor’s degree in Health Information Management, Nursing, Healthcare Administration, or a related clinical or health sciences field preferredExperience5+ years of experience in clinical documentation integrity, coding operations, risk adjustment, or a related fieldDemonstrated experience delivering provider education or clinical training in an ambulatory or value-based care settingPrior experience conducting concurrent or retrospective documentation reviewLicensure & CertificationsActive CRC (Certified Risk Coder) certification required in addition to a CPC (Certified Professional Coder) or CCS (Certified Coding Specialist). Active CDI certification required, the CDEO (Certified Documentation Expert Outpatient, CDIP (Certified Documentation Improvement Practitioner), or CCDS-O (Certified Clinical Documentation Specialist – Outpatient) or equivalent credential issued by AAPC or AHIMACertification must be current and in good standing at time of hire; maintenance of certification is required as a condition of employmentSkills & CompetenciesStrong working knowledge of risk adjustment coding, methodology (v24/v28), and CMS documentation standardsDemonstrated ability to apply DSP/MEAT and clinical criteria in documentation review and provider education contextsProven ability to communicate complex clinical and coding concepts to non-coding clinical audiences (providers, care teams)Strong client-facing skills with the ability to educate stakeholders, identify improvement opportunities, and deliver actionable feedback and recommendationsAbility to successfully build strong client relationshipsExcellent verbal and written communication skills, including ability to navigate difficult conversations and respond to both positive and negative customer feedback with professionalism and accountabilityStrong organizational skills with the ability to manage a portfolio of practices and prioritize independentlyExperience working in Medicare Advantage, ACO REACH, or MSSP risk adjustment environmentsThe following qualifications are preferred but not required.Registered Nurse (RN) or Nurse Practitioner (NP) licensure, or equivalent clinical licensure in an allied health field, preferred but not required; coding certification and risk adjustment experience takes precedenceExperience with AI-assisted suspecting tools or NLP-based CDI platformsFamiliarity with concurrent review program designBackground in ambulatory CDI or outpatient risk adjustmentPrior work within a value-based care organization or ACO at scale (10,000+ attributed lives)Perks/BenefitsCompetitive base compensation.Annual bonus potential.Health benefits effective on start dateHealth & Wellness Program: up to $300 per quarter for your overall well-being, available on start date.401(k) plan effective the first of the month after your start date; 100% match of up to 4% of your annual salary.Unlimited (or generous) paid “Vytal Time,” and 5 paid sick days after your first 90 days.Company-paid STD/LTD.Technology setup.Opportunity to help build a market leader in value-based healthcare at a rapidly growing organization.Disclaimer:At no time during our screening, interview, or selection process do we ask for additional personal information (beyond your résumé) or account/financial information. We will also never ask you to purchase anything, nor will we ever interview you via text message. Any communication received from a Vytalize Health recruiter during your screening, interviewing, or selection process will come from an email ending in @vytalizehealth.com.
