• Conduct reconciliations of CDI and coding outcomes to ensure alignment with final DRG assignments. • Review discrepancies between CDI specialists and coders, resolving variances to support accurate claim submission. • Perform quality audits on Physician Audit reviews to validate the appropriateness of coding and documentation. • Ensure clinical documentation meets regulatory standards, payer guidelines, and organizational policies. • Identify trends and patterns in documentation and coding errors, providing feedback and education to CDI and coding teams. • Collaborate with internal teams to develop and implement process improvements based on audit findings. • Provide education and training to CDI and coding staff on reconciliation outcomes and audit findings. • Serve as a liaison between CDI specialists, coders, and physicians to resolve documentation and coding queries. • Maintain up-to-date knowledge of coding guidelines (ICD-10, CPT, etc.), payer policies, and regulatory requirements. • Prepare and present regular reports on reconciliation and audit outcomes, including key metrics and recommendations.