Clinical Documentation Improvement Specialist (QA)

Review patient records to ensure clinical documentation is complete, accurate, and consistent with diagnoses, procedures, treatments, and severity of illness. Conduct concurrent and retrospective chart reviews, identify documentation gaps, and issue compliant physician queries. Partner with coders to support ICD coding and case mix index accuracy, track CDI metrics, and prepare dashboards. Support regulatory and accreditation compliance and educate clinicians on documentation best practices.