Guidehouse

The CDI Specialist- 2nd Level Reviewer responsibilities include comprehensive secondary clinical chart reviews to identify potential missed opportunities for documentation clarification, acting as a liaison between coding and CDI to resolve DRG or other code discrepancies. The Clinical Documentation Integrity Second Level Reviewer will collaborate closely with Coders, Case managers, Quality Department and Providers to assure documentation is clinically appropriate.

The Vascular Surgery Coder must be proficient in surgical coding for all Trauma Surgery type cases. E/M experience is also required for associated providers. The coder will review clinical documentation and diagnostic results as appropriate to extract data and apply appropriate ICD-10 Diagnosis codes, along with CPT/HCPCS codes as defined for the service type, for coding, billing, internal and external reporting, research as required, and regulatory compliance.