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CDI Auditor

Job not on LinkedIn

πŸ•’ 4 days ago

πŸ‡ΊπŸ‡Έ United States – Remote

⏰ Full Time

🟑 Mid-level

🟠 Senior

πŸ”Ž Auditor

Where this job comes from

Posted on UASI's careers page, not through a job board

First seen by Remote Rocketship 4 days ago

Still open on UASI's site. Checked 1 hour ago.

Logo of UASI

UASI

501 - 1000 employees

Founded 1984

πŸ₯ Healthcare

πŸ’Ό Consulting

🀝 B2B

πŸ’° $7M Debt on 2020-05

Healthcare β€’ Consulting β€’ B2B

UASI is a healthcare-focused revenue cycle consulting and services firm that helps hospitals and health systems optimize coding, clinical documentation improvement (CDI), denials and revenue integrity, quality and risk management, and AI adoption. With 40+ years of experience, UASI offers consulting, program design and implementation, assessments and audits, managed services and staffing, technology, and education and training. The company serves more than 1,250 hospital facilities and physician groups and employs 800+ nationally credentialed experts; it is KLAS-recognized and positions itself to find and fill gaps, fix processes, or run functions on behalf of clients (domestic, offshore, or both).

πŸ“‹ Description

β€’ Review clinical documentation to ensure accuracy, completeness, and compliance with regulatory guidelines and coding standards β€’ Evaluate the effectiveness of CDI programs β€’ Identify documentation gaps β€’ Provide feedback and education to improve documentation quality, coding accuracy, and reimbursement integrity β€’ Perform high-level, secondary case reviews to ensure accurate and comprehensive provider documentation β€’ Perform CDI audits β€’ Assess documentation alignment with ICD-10-CM/PCS, MS-DRG/APR-DRG, and payer guidelines β€’ Identify missed or inappropriate diagnoses, procedures, CCs/MCCs, and severity of illness (SOI) / risk of mortality (ROM) opportunities β€’ Analyze audit findings and prepare detailed reports with trends, risks, and improvement opportunities β€’ Provide feedback and education to CDI specialists, coders, and clinical staff

🎯 Requirements

β€’ RN Required β€’ CCDS or CDIP certification preferred but not required β€’ A minimum of 3 years’ CDI experience β€’ Minimum of 2 years of bedside nursing experience in an acute care setting (ICU, Med/Surg, ED, etc.) β€’ Clinical background with thorough knowledge of official medical coding guidelines, CMS, and private payer regulations related to the Inpatient Prospective Payment System β€’ Experience performing CDI audits and second level reviews β€’ Ability to communicate with physicians and hospital staff in a collaborative manner to promote appropriate clinical documentation and quality improvement β€’ Full-time availability β€’ Remote work capability

πŸ–οΈ Benefits

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

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