Title: Clinical Documentation Specialist Audit Coordinator (Remote) Location: Livonia MI United States Job Description: Employment Type: Full time Shift: Day Shift Description: POSITION PURPOSE Work Remote Position (Pay Range: $41.4306-$62.1459) Provides onsite and remote clinical documentation integrity (CDI) support to the Health Ministry (HM) CDI programs as part of the System Office CDI Float Pool. Utilizes advanced coding and/or clinical expertise to direct efforts toward the improvement and integrity of clinical documentation. Responsible for reviewing and/or auditing medical record clinical documentation to support the medical necessity, severity of illness, risk of mortality, accurate coding, clinical evidence, resources consumed, and level of services rendered to all patients. Audits HM CDSs for query compliance, workflow and missed documentation opportunities. Trains end users in the use of CDI system software, standards, and workflow. ESSENTIAL FUNCTIONS Knows, understands, incorporates, and demonstrates Trinity Health's Mission, Vision, and Values in behaviors, practices, and decisions. Demonstrates understanding of and facilitates appropriate clinical documentation, to ensure that the medical necessity, severity of illness, risk of mortality, accurate coding, clinical evidence, resources consumed, and level of services provided are accurately reflected in the health record. Conducts clinical documentation chart reviews and queries providers as appropriate to support RHMs staffing needs. Reviews may be conducted on site or remotely. Follows HM CDI Program workflow and processes and communicates with local CDI Team to support local operations. Communicates with physicians and other members of the healthcare team at the HM regarding clinical documentation as part of local CDI Team assignment. Audits medical records, queries, CDS and coder assigned codes, CDI software entries, etc., as requested to provide feedback to the HMs for improvement opportunities. Trains end users in the use of CDI system software, standards, and workflow. Provides documentation education to providers and members of healthcare team at the RHM as part of CDI Team assignment or as requested. Demonstrates ability to quickly learn and master the various CDI technology applications, systems and workflows in place across the enterprise. Provides expertise in problem-solving skills based on theoretical knowledge, clinical experience and sound judgment and serves as a professional role model by demonstrating desirable practice behaviors. Assists the System Office Clinical Documentation Manager with all aspects of the CDI program across the system including data collection and maintenance of the CDI Dashboard. May develop educational content for providers and CDSs on CDI workflow and processes, CDI and Physician software systems, and documentation and coding guidelines as requested. Performs other duties as assigned by leadership. Maintains a working knowledge of applicable Federal, State and local laws and regulations, accrediting agencies, Trinity Health's Organizational Integrity Program, Standards of Conduct, Code of Ethics, as well as other policies and procedures in order to ensure adherence in a manner that reflects honest, ethical and professional behavior. MINIMUM QUALIFICATIONS Must possess a minimum of one of the below: - Current Registered Nurse License, - Registered Health Information Administrator (RHIA), - Registered Health Information Technician (RHIT), - Certified Coding Specialist (CCS) Certification as a Clinical Documentation Specialist (CCDS) or Certified Documentation Improvement Professional (CDIP) preferred. Experience in Clinical Documentation Integrity. Excellent communication (verbal and written), interpersonal, collaboration and relationship-building skills. Strong critical thinking skills and ability to integrate knowledge. Prioritization and organizational skills required. Ability to educate all members of the healthcare team related to clinical documentation. Experience with databases, spreadsheet software and presentation software preferred. Must be comfortable operating independently in a collaborative, shared leadership environment. Must possess a personal presence that is characterized by a sense of honesty, integrity, and caring with the ability to inspire and motivate others to promote the philosophy, mission, vision, goals, and values of Trinity Health.

• Perform medical literature research and data analysis, to support project pitch development, new content development and regulatory review/approval. • Develop medical and scientific copy, highlighting/tagging references as required for all sales and client driven initiatives. • Support project pitch development and delivery by providing medical and scientific expertise to client engagement teams • Provide medical and scientific support during client meetings, workshops, and advisory board meetings; These meetings may occur virtually or in person • Edit copy to correct errors of spelling, grammar and punctuation, ensure stylistic consistency, enhance readability, and ensure copy meets branding and referencing requirements • Work within copy deck formats that appropriately record changes, style decisions, source materials, and referencing requirements • Prepare and submit content for medical legal regulatory review in client submission/referencing systems • Participate in client calls/correspondence relating to content approval; record and clarify all content change requests and ensure relevant information is shared with other production team members • Collaborate with Design to ensure visuals are scientifically accurate and align with client preference/style guide and regulatory guidelines • Collaborate with Animation to write and review scripts, review storyboards and video output • Collaborate with the User Experience team to establish organization and flow of content; Review IA/wires/functional spec documents for scientific accuracy • Collaborate with editorial team members to ensure alignment with client branding and ensure accuracy of spelling, punctuation and grammar • Conduct end-to-end validation of the content of projects, reporting and resolving issues with relevant team members including the project manager and/or account management personnel • Assist with the creation of budget estimates for new/revised projects • Participate in the development, implementation and control of editorial standards and workflow optimization • Educate team members on scientific constructs, as needed, to ensure understanding and alignment on content development • Ensure alignment with other team members and clients on deliverables • Oversee communication with team members in Pune who support with regulatory submissions and scientific accuracy • Navigate daily tasks and support Project Managers to address resourcing challenges

• 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. • 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. • Knows, understands, incorporates, and demonstrates the Trinity Health Mission, Vision, and Values in behaviors, practices, standards, policies, procedures and decisions. • Works collaboratively with coding staff to ensure documentation of discharge diagnoses and co-morbidities.

• Take the lead role in projects where required and take ownership of the scientific/editorial component. • Responsible for producing high-quality scientific written materials in keeping with project briefs. • Assist with editing and proofreading of text written by other team members and provide constructive feedback to aid learning and development. • The role will involve reviewing and interpreting data from preclinical and clinical research articles as the basis of creating scientific written materials in keeping with project briefs. • Remains current with medical developments and conducts literature searches to ensure delivery of accurate medical information for assigned projects. • Participate in client meetings / teleconferences and attend scientific meetings as required. • Synthesizes clinical trial data and translates relevance for the appropriate physician and consumer audiences according to client requirements for assigned projects.