CDI Auditor-Registered Nurse Full Time-Days

Overview

The Clinical Documentation Improvement (CDI) Auditor will facilitate improvement system-wide in the overall quality, completeness, and accuracy of the medical record documentation through extensive audit investigation, education and data analysis. Responsible for identification of patterns, trends, and opportunities for CDI staff to improve accuracy and outcomes. Provides education to CDI team members and physicians, if needed. Assists with denial management as it relates to documentation.

What You Will Do

• Performs quality audits on CDI team members and provides education and feedback.
• Ensures coding compliance; applies all coding guidelines as defined in the Coding Clinic and leading authorities.
• Complies with standardized coding standards, conventions and regulations, corporate compliance standards and reimbursement policies.
• Identifies and provides training to ensure quality and productivity standards are met.
• Provides education on compliant query process.
• Captures and analyzes data obtained.
• Documents findings related to Compliance Reviews.
• Adheres to established productivity standards.
• Communicates with CDI and CDI Director of case and resolution.

Qualifications

• Education: Associates Degree, Nursing (Required); Bachelors Degree, Nursing or healthcare related (Preferred).
• Experience: 3-4 years CDI experience, ICD 10, CM/PCS, APR-DRGS, and MS-DRGS (Required); 2 years experience providing provider, CDI and/or coder education in an acute care setting (Required); 1 year auditing experience (Required).

Skills And Abilities

• Knowledgeable in Microsoft Office, encoder and use of EHR.
• Strong verbal and written communication skills.
• Excellent attention to detail.
• Intermediate proficiency with Excel, PowerPoint, Word.
• Excellent interpersonal and presentation skills.
• Strong time management, attention to detail, and follow through.
• Possesses an excellent understanding of coding practices, official coding guidelines and federal regulations.
• Ability to adapt to changes in the work environment.

Licenses and Certifications

• Registered Nurse (RN) - State Department of Health Professions (Required).
• Certified Clinical Document Specialist (CD) - Association of Clinical Documentation Integrity Specialists (ACDIS) or CDIP Certified Documentation Integrity Professional (Required).
• Certified Coding Specialist (CCS) - The American Health Information Management Association (AHIMA) (Preferred).

To learn more about being a team member with Riverside Health System visit us at https://www.riversideonline.com/careers.