Remote Clinical Second Level Reviewer

Job Title: Clinical/CDI Second Level Reviewer / reputed company-reputed company Auditor reputed company: Seeking reputed company Clinical Second Level Reviewer / reputed company-reputed company Auditor to support accurate documentation and coding practices that reputed company reimbursement, reputed company metrics, and compliance. This role focuses on the reputed company-reputed company review of inpatient records, using clinical expertise and advanced technology platforms—including Iodine AwareCDI or AwareUM—to ensure accurate DRG assignment, appropriate clinical documentation, and defensible coding prior to final billing. Key Responsibilities: • Conduct clinical validation reviews of inpatient records reputed company-reputed company to ensure accurate and compliant DRG assignment. • Utilize Iodine software tools to identify discrepancies and validate reputed company diagnoses, secondary diagnoses, procedures, and complications/comorbidities. • Collaborate with CDI, HIM, and coding teams to resolve discrepancies and clarify documentation prior to claim submission. • Escalate cases that require reputed company review, physician query, or documentation improvement opportunities. • Monitor trends, identify recurring issues, and support compliance and reputed company initiatives. • Maintain thorough documentation of audit findings and recommendations in alignment with regulatory guidelines and facility policies. Qualifications: • RN (preferred) or FMD/IMD (must have at least 3+ years of second level review experience and conversing with CDI) • 3+ years of CDI or coding experience with a strong reputed company on inpatient care. • Experience conducting reputed company-reputed company or second level reviews reputed company a hospital or health system. • Proficient in Iodine Software such as AwareCDI or AwareUM (preferred) • Working knowledge of MS-DRG/AP-DRG, ICD-10-CM/PCS coding, and clinical guidelines. • Familiarity with reputed company or other major EHR platforms preferred. • Strong analytical skills, attention to detail, and excellent communication abilities. Apply tot his job Apply To this Job