Lead Consultant, Healthcare Performance Improvement - Clinical Documentation Integrity

Company Profile:

At FORVIS, your career is designed with a purpose. We want our team members to thrive professionally and feel the impact their work yields when serving clients, industries, and local communities. This starts by empowering team members to design a career journey that leverages their skills and fuels their passions.

Creating a best-in-class employee experience is at the heart of our vision for the future. With several industry focus areas, multiple service lines, and locations in five geographical regions across the country to choose from, the opportunities for your career are without limit.

About FORVIS

FORVIS is a Top-10 professional services firm providing assurance, tax, and advisory services, driven by our commitment to using our forward vision to provide rewarding career opportunities and deliver unmatched client experiences. Learn more at FORVIS.com

Design your career with purpose at FORVIS. For more information about our firm locations, visit FORVIS.com. FORVIS, LLP is an equal opportunity/affirmative action employer. Employment selection and related decisions are made without regard to age, race, color, sex, sexual orientation, national origin, religion, genetic information, disability, protected veteran status, or other protected classifications.

It is FORVIS's standard policy not to accept unsolicited referrals or resumes from any source other than directly from candidates.

• FORVIS expressly reserves the right not to consider unsolicited referrals and/or resumes from vendors including and without limitation, search firms, staffing agencies, fee-based referral services, and recruiting agencies.
• FORVIS further reserves the right not to pay a fee to a recruiter or agency unless such recruiter or agency has a signed vendor agreement with FORVIS.
• Any resume or CV submitted to any employee of FORVIS without having a FORVIS vendor agreement in place will be considered the property of FORVIS.

Requisition Number: 2236175

Position Title:

External Description: Description & Requirements

The Performance Improvement Healthcare Consulting team helps healthcare organizations achieve sustainable results by addressing margin erosion through targeted improvement strategies. By aligning strategic, operational, and financial initiatives, they identify opportunities and support leadership in implementing impactful changes. With a focus on strengthening margins, the team empowers providers to fulfill their mission and thrive in today's evolving healthcare environment.

The Lead Consultant will oversee and manage Clinical Documentation Integrity (CDI) consulting engagements across hospitals, health systems, and clinics. This role is responsible for performing CDI program assessments, reviewing clinical documentation, analyzing DRG and risk adjustment impacts, delivering education sessions, and guiding the implementation of best-practice documentation workflows.

What You Will Do:

• Conduct CDI program assessments and evaluate workflows to identify improvement opportunities.
• Identify documentation gaps impacting CC/MCC, SOI/ROM, HCCs, and DRG assignment.
• Recommend and implement strategies to improve documentation quality, compliance, and coding accuracy.
• Develop and maintain CDI policies, procedures, and best practices.
• Review clinical documentation and diagnostic data to identify missed severity and risk adjustment opportunities.
• Collaborate with coding teams to ensure accurate code assignment and analyze audit trends to support mitigation strategies.
• Deliver education for clinicians and CDI specialists on documentation standards, query compliance, DRG impacts, and record review best practices.
• Create tailored educational resources, including tools, job aids, and reference materials.
• Analyze CDI performance metrics such as CMI, DRG shifts, query response rates, and reconciliation accuracy.
• Develop dashboards and reports to present actionable insights to executives and clinical leaders.
• Manage client workstreams, updates, and deliverables, ensuring timely, high-quality outcomes.
• Prepare proposals, executive summaries, and project documentation.

Minimum Qualifications:

• Bachelor's degree in a healthcare-related field
• 5+ years of related healthcare experience, including 2+ years in Clinical Documentation Improvement
• Hands-on experience with CDI or Electronic Health Record (EHR) documentation platforms
• Strong knowledge of DRG methodology, CC/MCC structure, and Hierarchical Condition Categories (HCCs)
• Proficiency in Microsoft Excel and ability to interpret clinical data
• Willingness to travel up to 60%, based on client needs

Preferred Qualifications:

• Master's Degree
• Registered Nurse
• Prior Consulting experience
• Experience leading CDI program redesign or expansion
• Familiarity with quality reporting and risk adjustment metrics
• CCDS, CDIP, or equivalent certification

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City: Nashville

State: Tennessee

Community / Marketing Title: Lead Consultant, Healthcare Performance Improvement - Clinical Documentation Integrity

Location_formattedLocationLong: Nashville, Tennessee US

CountryEEOText_Description:

With a legacy spanning more than 100 years, Forvis Mazars is committed to providing a different perspective and an unmatched client experience that feels right, personal and natural. We respect and reflect the range of perspectives, knowledge and local understanding of our people and clients. We take the time to listen to deliver consistent audit and assurance, tax, advisory and consulting services worldwide.

We nurture a deep understanding of our clients’ industries, delivering greater insight, deeper specialization and tailored solutions through people who listen to understand, are responsive and consult with purpose to deliver value.

About Forvis Mazars, LLP

Forvis Mazars, LLP is an independent member of Forvis Mazars Global, a leading global professional services network. Ranked among the largest public accounting firms in the United States, the firm’s 7,000 dedicated team members provide an Unmatched Client Experience® through the delivery of assurance, tax, and consulting services for clients in all 50 states and internationally through the global network. Visit forvismazars.us to learn more.

Forvis Mazars, LLP is an equal opportunity/affirmative action employer. Employment selection and related decisions are made without regard to age, race, color, sex, sexual orientation, national origin, religion, genetic information, disability, protected veteran status, gender identity, or other protected classifications.
It is Forvis Mazars, LLP standard policy not to accept unsolicited referrals or resumes from any source other than directly from candidates.

Forvis Mazars, LLP expressly reserves the right not to consider unsolicited referrals and/or resumes from vendors including and without limitation, search firms, staffing agencies, fee-based referral services, and recruiting agencies.
Forvis Mazars, LLP further reserves the right not to pay a fee to a recruiter or agency unless such recruiter or agency has a signed vendor agreement with Forvis Mazars, LLP.Any resume or CV submitted to any employee of Forvis Mazars, LLP without having a Forvis Mazars, LLP vendor agreement in place will be considered the property of Forvis Mazars, LLP.