CDI Second Level Reviewer

Catholic Health; Melville (NY); On-site; USD 110,000 - 155,000; Full time

Benefits offered by this job

Generous benefits packages

Generous tuition assistance

Defined benefit pension plan

Job summary

Catholic Health in Melville, New York is seeking an experienced CDI Second Level Reviewer to perform advanced case reviews ensuring accurate documentation. The role requires a licensed RN, NP, or PA with at least four years of CDI experience. Responsibilities include identifying documentation opportunities, delivering feedback to staff, and analyzing trends. Salary range is USD $110,000.00 - USD $155,000.00 per year, with additional benefits including tuition assistance and pension plan.

Qualifications

• 4 years of recent CDI experience required.
• Strong understanding of DRG methodology and documentation impact.
• Proven experience in concurrent CDI review.

Responsibilities

• Perform secondary reviews of high-impact cases.
• Identify missed documentation opportunities.
• Deliver feedback to concurrent CDI staff.

Skills

Critical thinking

Communication skills

Clinical documentation expertise

Problem-solving skills

Education

Licensed in NYS, RN, NP or PA

Clinical Documentation Specialist (CCDS or CDIP)

Job description

Overview

Catholic Health is one of Long Island’s finest health and human services agencies. Our health system has over 16,000 employees, six acute care hospitals, three nursing homes, a home health service, hospice and a network of physician practices across the island. At Catholic Health, our primary focus is the way we treat and serve our communities. We work collaboratively to provide compassionate care and utilize evidence based practice to improve outcomes – to every patient, every time. We are committed to caring for Long Island. Be a part of our team of healthcare heroes and discover why Catholic Health was named Long Island’s Top Workplace!

Job Details

The CDI Second Level Reviewer is an experienced Clinical Documentation Specialist responsible for performing advanced, targeted case reviews on potentially high‑impact encounters. This role focuses on identifying documentation opportunities in complex or high‑risk cases to ensure accurate representation of patient acuity, quality outcomes (such as expected mortality), and financial performance. This role serves as an escalation and quality layer beyond concurrent review. It will coordinate closely with CDI leadership and the CDI Educator to identify trends and provide feedback to the concurrent review team on findings.

Job Responsibilities

• 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 PSIs or HACs
• 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; 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 peersComfortable 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, Catholic Health offers generous benefits packages, generous tuition assistance, a defined benefit pension plan, and a culture that supports professional and educational growth.