ESSENTIAL FUNCTIONS
& 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

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

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