About this opportunity
The CORE Institute lists this Clinical Documentation Improvement Lead opportunity in phoenix, Arizona. Review the employer’s description below for duties, qualifications and application requirements.
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. For further information, please review the Know Your Rights notice from the Department of Labor.
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Worksite address
phoenix, AZ, 85003, US
Who can apply
Review the original listing for work authorization, qualifications and employer requirements.