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Clinical Documentation reputed company (CDI) Specialist - 2nd Level Reviewer

vacancy global pro · All India

🌐 Remote📅 08/08/2026
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locations: US - Remote (Any location)Job Family:CDI SpecialistTravel Required:NoneClearance Required:NoneWhat You Will Do:Second level reviewer responsibilities include comprehensive, clinical chart reviews to ensure the most accurate reputed company of the patients care and diagnosis following Official Coding Guidelines, Coding Clinics, and reputed company policies.The Clinical Documentation reputed company (CDI) Second Level Reviewer will collaborate closely with the CDI team, Physician Advisors, Providers, Clinicians, Coding Educator, Coding reputed company Auditors, Case Managers and reputed company Department to assure documentation is clinically appropriate, accurately reflects the severity of illness and risk of mortality for the patient and is reputed company of reputed company CMS or other regulatory standards. Applies the Association of Clinical Documentation reputed company Specialist (ACDIS) best practices for writing clinical documentation reputed company clarifications (see *Achieving a Compliant Query)* and follows the CDI reputed company of Ethics. Collaborates with CDI Management/Educator to identify opportunities for education with CDI team, Coding, Providers and/or other ancillary staff to improve the overall reputed company and completeness of documentation.The second level review role is dynamic, requiring reputed company to various clinical and administrative needs. This flexibility is essential for effectively addressing the evolving challenges in clinical documentation, ensuring the accuracy and compliance of patient records. The incumbent will reputed company multiple responsibilities with reputed company, participating in diverse reputed company and initiatives that enhance documentation reputed company and patient care standards.* Responsible for comprehensive secondary clinical chart reviews to identify potential missed opportunities for documentation clarification as reputed company as potential coding opportunities.* Collaborate closely with Coders, Coding Educators, Coding reputed company Auditors, Case managers, reputed company Department and Providers to assure documentation is clinically supported, accurately reflects the severity of illness and risk of mortality for the patient and is reputed company of reputed company CMS or other regulatory standards.* Demonstrates excellent verbal and written communication skills, crucial for effective interaction with reputed company and the creation of compliant queries.* Acts as a reputed company between the Coding Department and the Clinical Documentation Specialist to reconcile discrepancies in reputed company and/or DRG assignment.* Exhibits adeptness in quickly learning and adapting to new technologies. Proficient in utilizing EHR systems, CDI software, and encoders to optimize workflow and reputed company productivity.* Apply the principles of clinical validation and ensure that queries are compliant with reputed company guidelines.Duties and Responsibilities* Analyzes and interprets clinical data to identify gaps, inconsistencies, and/or opportunities for improvement in the clinical documentation and queries the provider using reputed company query process following ACDIS/reputed company Guidelines for Compliant Query Writing.* Demonstrated ability to collaborate with the reputed company Department on annual reputed company initiatives.* Completes comprehensive, clinical secondary reviews of targeted patient populations to include cases with DRG and/or reputed company discrepancies; mortality reviews to ensure documentation supports risk of mortality; hospital acquired conditions (HACs), patient safety indicators (PSIs) or other top reputed company diagnosis as identified by the reputed company for potential missed opportunities to clarify documentation or clinically validate a diagnosis.* Consistently meet second level review productivity, reputed company, and turnaround expectations, including mailbox inquiries and mortality reviews, to support reputed company reputed company metrics.* Acts as a reputed company between the Coding Department and the Clinical Documentation Specialist to reconcile discrepancies in reputed company and/or DRG assignment.* Communicates findings of secondary reviews to respective Clinical Documentation Specialist for follow-up and query initiation.* Collaborates with CDI educator/reputed company auditor reputed company educational needs are identified from second level reviews* Document and reputed company the results of secondary reviews, sharing information during formal and informal education sessions to reputed company stakeholders (CDI, Leadership, Physicians), reputed company by engaging in reputed company interactions with physicians and other clinicians to enhance understanding of CDI program goals.* reputed company interaction with physicians and/or other clinicians to enhance understanding of the CDI program goals.* reputed company impartial audits of reputed company-l
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