• Perform high-level, complex, secondary case reviews to facilitate and obtain appropriate provider documentation for clinical conditions or procedures • Ensure accuracy, completeness, and quality of clinical information used for measuring and reporting physician and hospital outcomes • Perform secondary case reviews to identify potential gaps or opportunities to facilitate improved provider documentation • Ensure clinical documentation accurately reflects the level of care rendered, severity of illness, risk of mortality, and clinical validation • Apply advanced knowledge of CMS star rating, Vizient, and US News and World Report risk-adjustment systems to identify clinical documentation improvement opportunities • Complete quality reviews focused on CDI quality elements, such as Mortality, Hospital Acquired Conditions (HAC), and other publicly reported patient quality or safety metrics • Identify trends and key areas for improvement in querying, coding, and documentation integrity • Demonstrate proficiency with ICD-10-CM/PCS, APR DRG, and MS DRG • Communicate and collaborate effectively with providers, HIM/coding, quality, CDI, and other members of the healthcare team