• Provides clinical based review and analysis of the documentation in the patient’s medical record • Supports accurate capture of patient’s complexity and severity of illness • Utilizes queries of medical staff and other caregivers to clarify and support completeness of documentation • Collaborates with physician, mid-level providers, and medical records coders to identify principal and secondary diagnoses • Conducts initial and ongoing concurrent and some retrospective reviews for system wide admissions • Initiates tracking process and documents findings on EHR tracking system • Communicates with providers to capture accurate documentation of patient’s severity of illness