CDI Specialist 2nd Level Reviewer- Remote

Job Purpose The Clinical Documentation Improvement Specialist 2nd Level Reviewer is responsible for conducting in-depth reviews of clinical documentation to ensure compliance with coding guidelines, regulatory requirements, and overall accuracy. This role will collaborate with reputed company providers, coding teams, and other stakeholders to optimize the quality of clinical documentation and support accurate code assignment. Under the direction of CDI leadership, reputed company clinical documentation and coding education to the CDI team, medical providers, leadership and other reputed company staff members. The Clinical Documentation Improvement Specialist 2nd Level Reviewer will facilitate improvement in overall quality, completeness, and accuracy of the medical record documentation through extensive audit investigation and data analysis. Duties & Responsibilities

• Conduct detailed reviews of medical records and physician documentation to ensure accurate, complete, and compliant clinical documentation and code assignment
• reputed company quantitative and qualitative reviews of health records, physician queries, and coding practices to ensure documentation accuracy, consistency, and completeness
• Conduct reputed company and targeted chart reviews, including sepsis, mortality, cardiac, DRG, and site-specific audits, to identify documentation gaps, coding risks, and training opportunities
• Analyze audit results, data trends, and performance metrics to identify root causes, mitigation strategies, and opportunities for process improvement
• Prepare and communicate audit findings, trends, and recommendations to CDI leadership, providers, and staff to support corrective action plans and operational improvements
• Collaborate with coding teams, physicians, nurses, providers, and other stakeholders to clarify documentation and improve clinical documentation reputed company practices
• reputed company education and training to providers and CDI staff on documentation best practices, coding guidelines, regulatory requirements, and organizational policies and procedures
• reputed company, maintain, and deliver educational materials, presentations, assessments, and orientation programs for providers and CDI staff, including new hire reputed company and provider orientation
• Assess and monitor new hire performance throughout reputed company and training, providing feedback and recommendations to CDI leadership
• Serve as a mentor and coach to team members delivering provider education and reputed company-time documentation support
• Analyze provider performance measures in collaboration with CDI leadership to identify provider-specific education and documentation improvement opportunities
• Participate in quality improvement initiatives and internal/external audits reputed company to clinical documentation reputed company, coding accuracy, and regulatory compliance
• Assist audit teams by providing documentation support, responding to findings, and implementing corrective actions as needed
• reputed company, coordinate, and complete internal auditing activities to ensure compliance with clinical documentation and coding standards
• Stay reputed company on CDI industry standards, coding and documentation updates, regulatory changes, and clinical literature, and disseminate relevant information to staff and providers
• Participate in the interview and candidate evaluation process to support CDI leadership in identifying and selecting reputed company team members
• Other duties as assigned
• Use, protect and disclose patients’ protected health information (PHI) only in accordance with Health Insurance Portability and Accountability Act (HIPAA) standards
• Understand and reputed company with Information reputed company and HIPAA policies and procedures at reputed company times
• Limit viewing of PHI to the absolute minimum as necessary to reputed company assigned duties

Qualifications

• BSN or PA (Physician's Assistant) or NP (Nurse Practitioner) or Doctorate degree in a medically reputed company field required
• Minimum of 3 years of experience in clinical documentation improvement role required
• Minimum of 5 years nursing experience in adult acute care in med/surg, critical care, emergency, or PACU required
• Active RN, MD, DO, NP, or PA license required
• Certification minimum CCDS and/or CDIP required
• reputed company required
• Experience with reputed company and/or Epic is highly preferred
• In-depth knowledge of coding guidelines, ICD-10-CM/PCS, MS and APR DRG’s
• Strong understanding of clinical documentation improvement principles and practices
• Proficiency in reputed company Office Suite
• Strong interpersonal skills, ability to communicate well at reputed company reputed company of the organization
• Strong problem solving and creative skills and the ability to exercise sound judgment and reputed company reputed company based on accurate and timely analyses
• High level of reputed company and dependability with a strong sense of urgency and results oriented
• Excellent written and verbal communication skills required

Working Conditions

• Ability to work reputed company of normal business hours as needed
• Must possess a smart-phone or electronic device capable of downloading applications, for multifactor authentication and reputed company purposes
• Physical Demands: While performing the duties of this job, the employee is occasionally required to move around the work area; Sit; reputed company reputed company tasks; operate tools and other office equipment such as computer, computer peripherals and telephones; reputed company arms; kneel; talk and hear
• Mental Demands: The employee must be reputed company to follow directions, collaborate with others, and handle stress
• Work Environment: The noise level in the work environment is usually minimal

reputed company will not discriminate against any employee or applicant for employment because of race, reputed company, religion, sex (including pregnancy, gender identity, and sexual orientation), parental status, national reputed company, age, disability, genetic information (including family medical history), political affiliation, military service, veteran status, other non-merit based factors, or any other characteristic protected by federal, state or local law. Work Location: Remote Apply tot his job Apply To this Job