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Now viewing: Clinical Documentation Improvement Lead
TC
The Center for Orthopedic and Research E
Clinical Documentation Improvement Lead
Job Description
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 Equal Opportunity Employer This employer is required to notify all applicants of their rights pursuant to federal employment laws.