CDI Auditor - Improve Documentation, Coding & DRG Alignment

CCMC Cook Children's Medical Center; Fort Worth (TX); On-site; USD 70,000 - 100,000; Full time

Job summary

Cook Children’s Medical Center seeks a Clinical Documentation Integrity Auditor to review and improve documentation accuracy, coding precision, and APR-DRG alignment. This role verifies POA status and DRG appropriateness, conducts pre-bill audits, and tracks trends for reporting.

The auditor collaborates with providers, physician advisors, and coding staff to drive improvements and maintain regulatory compliance.

Qualifications

• Associate degree in business or clinical field required, master's desirable.
• RHIA/RHIT with CCS or RN with CCS required; CCDS/CDIP preferred and to be obtained by year 3.
• Minimum three years acute care inpatient coding experience; pediatric setting preferred.
• ICD-10-CM/PCS training desirable; strong knowledge of ICD coding and APR-DRGs.

Responsibilities

• Perform chart reviews for documentation accuracy and code specificity.
• Audit pre-bill and track audit results; report findings monthly or as requested.
• Provide education to providers and coders on documentation improvements.
• Act as liaison between Coding staff, Physician Advisors and Providers.
• Ensure POA and DRG alignment with compliance requirements.

Skills

Analytical thinking

Attention to detail

Strong communication

Critical thinking

Interpersonal skills

Fluent English

Documentation accuracy

Coding accuracy

POA/POA management

Education

Associates degree in Business or Clinical field

Master's degree in health-related field desirable

CCDS or CDIP credential preferred

RHIA or RHIT with CCS required or RN with CCS

Tools

Epic systems

ENCODERS / Coding tools

Abstracting & billing systems

Microsoft Office (Excel, Word, Outlook, PowerPoint)

Job description

Cook Children’s Medical Center seeks a Clinical Documentation Integrity Auditor to review and improve documentation accuracy, coding precision, and APR-DRG alignment. This role verifies POA status and DRG appropriateness, conducts pre-bill audits, and tracks trends for reporting.

The auditor collaborates with providers, physician advisors, and coding staff to drive improvements and maintain regulatory compliance.