CDI Auditor

Job not on LinkedIn

🔥 0 minutes ago

🇺🇸 United States – Remote

⏰ Full Time

🟡 Mid-level

🟠 Senior

🔎 Auditor

👻 Ghost score 15%

What it means: the chance that no one is really hiring for this job.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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📋 Description

• Review clinical documentation to ensure accuracy, completeness, and compliance with regulatory guidelines and coding standards • Evaluate the effectiveness of CDI programs • Identify documentation gaps • Provide 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

🎯 Requirements

• RN Required • CCDS or CDIP certification preferred but not required • A minimum of 3 years’ CDI experience • Minimum of 2 years of bedside nursing experience in an acute care setting (ICU, Med/Surg, ED, etc.) • 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 with physicians and hospital staff in a collaborative manner to promote appropriate clinical documentation and quality improvement • Full-time availability • Remote work capability

🏖️ Benefits

• Career growth and development • Strong leadership • Education • Full benefits • PTO • Competitive pay • Dynamic work environment • Full-time remote work arrangement

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