Perform secondary reviews of cases with a high potential impact, including but not limited to:Length of stay variance from expected (GMLOS) without documented comorbidities. Low acuity diagnoses with longer than expected length of stay. Unexpected mortalities and hospice discharges. Mortality risk variable opportunity cases. Other quality reviews such as PS - Is or HA - Cs. Identify and act on missed documentation opportunities impacting severity, risk adjustment, and reimbursement. Send queries to clarify documentation when appropriate. Deliver feedback and education to concurrent CDI staff on findings in coordination with CDI Educator and/or CDI leadership Analyze trends and patterns to support quality and performance improvement initiatives. Partner with CDI leadership to refine review criteria and escalation processes. Ensure alignment with coding guidelines and organizational priorities. Collaborate with coding and CDI Physician Advisors, as needed, on cases with potential opportunities identified in second level reviews Required Qualifications. Licensed in NYS, RN, NP or PA who is a credentialed Clinical Documentation Specialist CCDS, or CDIP - Experience – 4 years recent CDI experience. Demonstrated advanced CDI knowledge and strong clinical foundation. Proven experience in concurrent CDI review. Strong understanding of DRG methodology, quality metrics, and documentation impact. Excellent critical thinking and communication skills Desired Attributes. High level of clinical and coding expertise. Ability to identify nuanced documentation gaps in complex cases. Detail-oriented with strong problem-solving skills. Collaborative mindset with ability to educate and influence peers. Comfortable working independently in a specialized review workflow. Strong sense of accountability and ownership for high-impact work Deliverables. Completion of timely, high-quality second-level reviews for prioritized cases. Identification and capture of documentation opportunities that impact quality and financial outcomes. Feedback provided to CDI team based on review findings in coordination with CDI Educator and CDI leadership. Contribution to improved documentation and quality metrics. Regular reporting of trends, opportunities, and outcomes from second-level reviews Salary Range. USD $110,000.00 - USD $155,000.00 / Yr. This range serves as a good faith estimate and actual pay will encompass a number of factors, including a candidate’s qualifications, skills, competencies and experience. The salary range or rate listed does not include any bonuses/incentive, or other forms of compensation that may be applicable to this job and it does not include the value of benefits. At Catholic Health, we believe in a people-first approach. In addition to the estimated base pay provided, Catholic Health offers generous benefits packages, generous tuition assistance, a defined benefit pension plan, and a culture that supports professional and educational growth.