CDI Auditor

About the role

Join our award-winning team for a full-time remote position as a CDI Auditor. With over 40 years of experience and enduring partnerships with valued clients, we offer stability and long-term success. This role involves reviewing clinical documentation to ensure accuracy, completeness, and compliance with regulatory guidelines and coding standards.

Responsibilities

• Perform high-level, secondary case reviews to ensure accurate and comprehensive provider documentation.
• Conduct 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.
• Clinical background with thorough knowledge of official medical coding guidelines, CMS, and private payer regulations related to the Inpatient Prospective Payment System.
• Experience performing CDI audits and second-level reviews.
• Ability to communicate collaboratively with physicians and hospital staff to promote appropriate clinical documentation and quality improvement.

Benefits

• Dynamic work environment and career growth opportunities.
• Strong leadership and professional development tools.
• Full benefits package.
• Paid time off (PTO).
• Competitive pay.