• Serve as primary author who writes and provides input on routine documents such as clinical study reports and study protocols, and summarizes data from clinical studies. • May research, write or edit complex clinical and scientific and program level documents, including IBs, INDs, and MAAs. • Review routine documents prepared by junior team members. May provide training and mentorship for junior writers and program managers on document preparation, the use of software for document development, document types, regulatory requirements, and therapeutic area knowledge. • Ensure compliance with quality processes and requirements for assigned documents. Provide input on and independently develops best practices, methods and techniques for achieving optimal results, including various client specific processes. • May assist in program management activities. Identify and resolve out-of-scope activities. Duties could include developing timelines, budgets, forecasts and contract modifications. • Represent the department at project launch meetings, review meetings, and project team meetings.

• Review session notes completed by RBTs and BCBAs for accuracy, completeness, and compliance • Identify missing information, inconsistencies, or documentation errors • Ensure clinical notes meet required standards for insurance billing • Provide clear, respectful, and constructive feedback to clinicians • Communicate areas of concern with professionalism and emotional intelligence • Track and follow up on corrected documentation where necessary • Maintain organized and accurate records of quality reviews • Collaborate with internal and clinical teams to support documentation standards

• Manages the CDI staff: Management of daily activities of the Clinical Documentation Specialist (CDS) team: schedules staff; provides work direction and training/mentoring; ensures timely completion of assignments and performance evaluations. • Validates and improves quality of query activities; provides feedback to the director on operational concerns; provides feedback to Physician Advisors on provider response issues; assists with physician in-services as needed. • Reviews and analyzes data and reports to evaluate progress and helps initiate process improvements. Reports updates and team progress to appropriate committees. • Works closely with the Coding and CDI staff to resolve discrepancies between working and final DRGs, and coordinates efforts with coding/HIM/UR and other departments to ensure the coded record reflects the acuity of patients and level of provider care. • Develops and implements on-going CDI nurse and physician education and training programs to solve coding and documentation issues. • Acts as leadership resource for the team; supporting, fostering and assuring the continued professional development of group/individual skill sets and competencies. • Assists with departmental budget annually as requested by QI Director

• Oversee day-to-day CDI functions, including daily assignments and department-wide tasks, and escalates recommendations to the CDI Manager for adjustments to workflow when necessary. • Coordinate staff schedules to meet service level expectations. • Escalate inconsistencies in CDI operations that do not align with corporate standards. • Make recommendations for the development of CDI resources and policy and procedure development based on observations with staff. • Participate in problem identification, perform root cause analysis, and recommend a solution to CDI Management.