Role Description
We are currently seeking an experienced CDI Auditor to join our team for a full-time remote position. The CDI Auditor is responsible for reviewing clinical documentation to ensure accuracy, completeness, and compliance with regulatory guidelines and coding standards. This role evaluates the effectiveness of CDI programs, identifies documentation gaps, and provides feedback and education to improve documentation quality, coding accuracy, and reimbursement integrity.
• Perform high-level, secondary case reviews to ensure accurate and comprehensive provider documentation.
• Perform CDI audits.
• Assess documentation alignment with ICD-10-CM/PCS, MS-DRG/APR-DRG, and payer guidelines.
• Identify missed or inappropriate diagnoses, procedures, CCs/MCCs, and severity of illness (SOI) / risk of mortality (ROM) opportunities.
• Analyze audit findings and prepare detailed reports with trends, risks, and improvement opportunities.
• Provide feedback and education to CDI specialists, coders, and clinical staff.
Qualifications
• CCDS or CDIP certification required.
• RN preferred but not required.
• A minimum of 3 years’ CDI experience.
• The ability to communicate with physicians and hospital staff in a collaborative manner to promote appropriate clinical documentation and quality improvement is a must.
Benefits
• Dynamic work environment.
• Career growth and development.
• Strong leadership.
• Education.
• Full benefits.
• PTO.
• Competitive pay.
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