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.
Clinical Documentation Improvement Lead • Phoenix, AZ, United States
Specialist - Concurrent Coding / Inpatient CoderAccounting and Finance/HealthcareJob DescriptionSpecialist-Concurrent Coding/Inpatient Scottsdale Arizona 85258Exp 2-5Degree AssociatesJob Summary:Th... Show more
OverviewLooking to be part of something more meaningful? At HonorHealth, youll be part of a team, creating a multi-dimensional care experience for our patients.Youll have opportunities to make a di... Show more
Employment Type: Contract - W2 Duration: Minimum 4 months; this contract may be extended based on business needs, with potential opportunities for conversion to a full-time position Official Job Ti... Show more
Responsibilities SIGN ON BONUS $1500.Behavioral Health Connections, Inc.We offer mental health evaluations to children, adolescents, adults and older adults in crisis 24 hours a day, 7 days a week ... Show more
Clinical DirectorCommunity Bridges, Inc.CBI) is an integrated behavioral healthcare agency offering a variety of different programs throughout Arizona.CBI provides residential, outpatient, inpatien... Show more
Asset Living is a third-party management firm and a proven partner in fostering thriving communities nationwide.Founded in 1986, Asset Living has decades of experience delivering exceptional value ... Show more
Product Testers are wanted to work from home nationwide in the US to fulfill upcoming contracts with national and international companies.We guarantee 15-25 hours per week with an hourly pay of bet... Show more
The Clinical Program Navigator assists patients with linkage and retention of care within Prisma Community Care.In partnership with community resources and programs, the Clinical Program Navigator ... Show more
Product Testers are wanted to work from home nationwide in the US to fulfill upcoming contracts with national and international companies.We guarantee 15-25 hours per week with an hourly pay of bet... Show more
This position is responsible for a high level of technical knowledge and application of that knowledge to department testing, clinical relevance, and complex problem-solving skills.This position se... Show more
CBI) is an integrated behavioral healthcare agency offering a variety of different programs throughout Arizona.CBI provides residential, outpatient, inpatient, patient-centered medical homes, medic... Show more
Responsible for the prompt and efficient examination, investigation and settlement or declination of insurance claims through effective research, negotiation and interaction with insureds and claim... Show more
Clinical DirectorPosition Title:Clinical Director Location:Chandler, Arizona Position Type:Full-Time Pay Range:$100,000-$115,000 annually Mission:The mission of the Clinical Director at ACES is to ... Show more
Job TitleMedicaid Rate Methodology SpecialistCompanyMercerDescriptionWe are seeking a talented individual to join our Provider Rates Team in our Government Healthcare Services Consulting (GHSC) pra... Show more
Registered Nurse (RN) | Intensive Care Unit (ICU) / Critical Care.Assist physicians with patient management.Provide patient care to patients.Collaborate with other disciplines to ensure effective a... Show more
Great care starts with great people.At HonorHealth, you'll find something special.From humble beginnings in 1927 to one of Arizona's largest nonprofit healthcare systems, our culture is built on wa... Show more
Medicaid Rate Methodology SpecialistWe are seeking a talented individual to join our Provider Rates Team in our Government Healthcare Services Consulting (GHSC) practice at Mercer.The Medicaid Rate... Show more
Are You Looking For A Creative Place To Work?We Are Hiring For A Full-Time Clinical Director To Join Our Creative Crew!Creative Therapy Solution Is A BCBA-Owned, Women-Owned, Privately Owned, And L... Show more
Company Profile:Based in Tempe, AZ, Harter is a global aerospace maintenance, repair, and overhaul (MRO) organization, licensed and certified by FAA, EASA, and CAAC, that performs inspection, testi... Show more
Position Title: Quality Improvement Coordinator IWork Location: AZ (Remote)Assignment Duration: 3 months (Possibility to extend or convert)Work Schedule: Training 8-5 Mon-Fri (4 weeks, camera on, n... Show more
