• Utilizes advanced clinical and coding expertise to direct efforts toward the integrity of clinical documentation through the roles of reviewer, educator and consultant. • Facilitates the overall quality, completeness, accuracy and integrity of medical record documentation through extensive record review. • Through extensive interaction with physicians and other members of the healthcare team, achieves appropriate clinical documentation to support code assignment, medical necessity, severity of illness, risk of mortality and level of services rendered to all patients. • Participates in the development and delivery of education for providers and members of the healthcare team.

• Implements and continuously develops onboarding for all new Clinical Documentation Specialists (CDSs) for mentoring and education needs. • Leads and coordinates training of new CDI staff. • Collaborate with CDI leadership and other clinicians to facilitate the ongoing relevance of department specific orientation content, educational materials, and training programs/resources. • Formulates customized education to other healthcare professionals based on audience and areas of opportunity. • Interacts with medical staff members, directors, and senior hospital leadership staff as needed. • Makes recommendations for documentation improvement and queries to capture care and intensity of services as supported within the medical record documentation. • Demonstrates understanding of complications, co-morbidities, severity of illness, risk of mortality, case mix index, secondary diagnoses, and the impact of procedures on the final Diagnosis Related Group (DRG). • Educate members of the CDI team and providers on the review functions within the CDI program to meet and maintain enterprise goals and objectives, regulatory compliance, policies and procedures and standard operating procedures. • Assist with the development and maintenance of system CDI policies and procedures. • Remain current on CDI guidelines and practices. • Ensures program compliance by following coding guidelines and coding clinics. • Remains current with coding information to ensure accuracy of codes assigned based on documentation. • Serve as a key resource for accurate and ethical documentation standards and regulatory requirements. • Demonstrates the ability to draft compliant queries as endorsed by AHIMA and ACDIS. • Performs medical record reviews for completeness and accuracy in capturing severity of illness, risk of mortality and clinical validation. • Determines if professionally recognized standards of quality care are met. • Audits CDSs as needed to ensure that system objectives are met. • Develops educational plan for individual CDS based on Quality Audit (QA) outcomes. • Provides 1:1 mentoring as needed. • Oversees and coordinates SMART related education, meetings, and requirements for the department and as instructed by the SMART department.

• This position has accountability for the daily operations, continual development and supervision of the Clinical Documentation Improvement Program for OhioHealth • Responsible for the supervision of all Clinical Documentation Specialists for OhioHealth, including hiring, performance evaluation and accountability, scheduling, and disciplinary actions • Collaborates with interdisciplinary teams including, but not limited to, physicians, nurse practitioners, and the department managers of revenue, coding, case management, and Health Information Management • Coordinates physician/provider education regarding CDI across the system • Provides expertise to appropriate hospital personnel regarding clinical management of specific patient populations

• Conduct research on various health-related topics and stay up-to-date on industry trends and developments • Write high-quality, engaging content for our clients' websites, blogs, and social media platforms • Collaborate with our team to develop content strategies and ensure consistency in messaging and branding • Edit and proofread content to ensure accuracy and adherence to style guidelines • Use SEO best practices to optimize content for search engines • Stay informed on best practices for online content creation and adapt strategies as needed • Communicate effectively with team members and clients to understand their needs and preferences for content