Clinical Documentation Improvement Lead

• ESSENTIAL FUNCTIONS• Lead clinical documentation improvement initiatives focused on orthopedic and musculoskeletal specialties • Review provider documentation for completeness, specificity, medical necessity, and coding accuracy • Partner with physicians, APPs, coding teams, and operational leaders to improve documentation workflows and reduce • revenue leakage • Identify trends impacting reimbursement, denials, downcoding, charge lag, and documentation deficiencies • Provide education and real-time feedback to providers regarding coding, documentation standards, payer requirements, • and compliance expectations • Serve as a subject matter expert for Athena documentation workflows, claim edits, charge capture, and operational • reporting • Collaborate with coding and denial management teams to resolve documentation-related reimbursement issues • Support audit readiness and compliance initiatives through routine chart reviews and documentation monitoring • Assist in the development and maintenance of documentation policies, workflows, tip sheets, and provider education • materials • Analyze documentation and coding trends to support operational performance improvement and financial optimization • Monitor payer policy changes and regulatory updates impacting MSK documentation and reimbursement • Participate in cross-functional operational meetings and revenue cycle performance initiatives • EDUCATION• Certified Professional Coder (CPC), CCS, RHIA, RHIT, or equivalent coding certification required • EXPERIENCE• Minimum 5 years of clinical documentation improvement, coding, or revenue cycle experience in orthopedic/MSK specialties required • Strong working knowledge of musculoskeletal and orthopedic procedural and diagnosis coding