Clinical Documentation Auditor – Educator

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Ascension

WebsiteLinkedInAll Job Openings

10,000+ employees

🏥 Healthcare

🤝 Non-profit

Healthcare • Non-profit

Ascension is one of the nation’s leading non-profit Catholic health systems focused on delivering compassionate, personalized care with special attention to vulnerable populations. In FY2025 Ascension reported providing $1. 7 billion in care for persons living in poverty and other community benefit programs plus $1. 8 billion of unreimbursed care for Medicare patients. Operating across 16 states and the District of Columbia, its network includes about 97,300 associates, 25,300 aligned providers, 90 wholly owned or consolidated hospitals and ownership interests in 29 additional hospitals; Ascension also operates 22 senior living facilities and a variety of other care sites (including home health and health clinics). Its specialties include medical services, nursing, health system operations, and healthcare technology, all grounded in its faith-based mission to bring health, healing and hope to all.

📋 Description

• Assess the accuracy, consistency, and compliance of clinical documentation reviews performed by front-line CDS. • Support the professional development of the CDI team. • Provide provider-facing education to improve clinical documentation practices. • Perform routine and ad hoc audits of CDI queries, documentation reviews, and EHR entries for compliance with internal standards, industry guidelines, and regulatory requirements. • Evaluate query appropriateness, clinical evidence, and alignment with coding rules. • Maintain internal audit tools and track performance metrics. • Present audit findings to leadership regularly. • Develop and deliver comprehensive CDI education programs. • Create and maintain educational materials, tip sheets, and query templates. • Offer targeted documentation education through presentations, individual feedback, and query response coaching.

🎯 Requirements

• Clinical Documentation Prof. credential from the Association of Clinical Documentation Improvement Specialists obtained prior to hire or job transfer. • High school diploma equivalency with 2 years of cumulative experience OR associate degree/bachelor's degree OR 4 years of applicable cumulative job-specific experience. • Certified Clinical Documentation Specialist (CCDS) certification from ACDIS. • Expert understanding of CDI best practices, DRG methodologies (MS-DRG and APR-DRG), and coding principles. • Strong knowledge of SOI/ROM, MCC/CC capture, risk adjustment, quality indicators (PSI, HAC, mortality), and CMS compliance. • Ability to develop engaging education content for clinical, coding, and administrative audiences. • Proficiency with audit tools, EHR systems such as Epic, and CDI software platforms such as Iodine, 3M, and Nuance. • Knowledge of ICD-10-CM/PCS, UHDDS, and CMS coding and compliance requirements.

🏖️ Benefits

• Comprehensive health coverage: medical, dental, vision, prescription coverage and HSA/FSA options • Employer-matched 403(b) • Planning and hardship resources • Disability and life insurance • Pro-rated paid time off (PTO) and holidays • Ascension-paid tuition (Vocare) • Tuition reimbursement • Ongoing professional development and online learning • Employee Assistance Program • Counseling and peer support • Spiritual care and stress management resources • Parental leave • Adoption assistance and family benefits • Optional legal and pet insurance • Transportation savings