Clinical Documentation Auditor, Educator

🔥 0 minutes ago

🇺🇸 United States – Remote

💵 $96.2k - $134.1k / year

⏰ Full Time

🟢 Junior

🟡 Mid-level

🏥📝 Medical Writer

👻 Ghost score 0%

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Ascension

WebsiteLinkedInAll Job Openings

10,000+ employees

🏥 Healthcare

🤝 Non-profit

💰 $500M Debt on 2019-11

Healthcare • Non-profit

Ascension is a U. S. -based healthcare organization that connects patients to care across the communities it serves. The company operates hospitals and specialized care sites in multiple states (e. g. , Florida, Illinois, Indiana, Kansas), highlights location-based search for care, and promotes compassionate, community-focused services.

📋 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 • Evaluate query appropriateness, clinical evidence, and alignment with coding rules (ICD-10-CM/PCS, UHDDS, CMS) • 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 to providers through presentations, individual feedback, and query response coaching

🎯 Requirements

• Clinical Documentation Prof. credentialed from the Association of Clinical Documentation Improvement Specialists obtained prior to hire date or job transfer date • Certified Clinical Documentation Specialist (CCDS) certification from the Association of Clinical Documentation Improvement Specialists (ACDIS) • High School diploma equivalency with 2 years of cumulative experience OR Associate's degree/Bachelor's degree OR 4 years of applicable cumulative job specific experience • 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 • Proven ability to develop engaging education content tailored to diverse audiences (clinical, coding, administrative) • Proficiency with audit tools, EHR systems (e.g., Epic), and CDI software platforms (e.g., Iodine, 3M, Nuance)

🏖️ Benefits

• Paid time off (PTO) • Various health insurance options & wellness plans • Retirement benefits including employer match plans • Long-term & short-term disability • Employee assistance programs (EAP) • Parental leave & adoption assistance • Tuition reimbursement • Ways to give back to your community