CDI Auditor — Mortality & Denial Analytics

Guthrie; Sayre (Bradford County); On-site; USD 85,000 - 115,000; Full time

Job summary

Guthrie in Sayre, PA is seeking a skilled Clinical Documentation Improvement (CDI) Specialist responsible for advanced clinical documentation reviews to ensure accuracy, completeness, and integrity of the medical record, supporting quality outcomes, reimbursement, and regulatory compliance.

This role conducts second-level reviews of complex inpatient cases, mortality reviews, denial validation, and PSI/HAC review, identifies documentation gaps, validates clinical accuracy, and collaborates with

Qualifications

• BSN required; Master’s degree preferred
• CCDS certification required
• Minimum 3–5 years CDI experience
• Minimum 5 years clinical experience in an acute care setting
• Experience with mortality review, denial management, and DRG integrity preferred
• Strong analytical, critical thinking, and problem-solving skills

Responsibilities

• Performs second-level clinical documentation reviews of complex inpatient cases
• Conducts comprehensive mortality reviews to validate documentation and risk adjustment
• Reviews payer denials for clinical validity and DRG integrity
• Identifies documentation gaps and trends to support denial prevention and appeals
• Collaborates with CDI, Coding, Quality, Revenue Cycle to resolve discrepancies
• Maintains knowledge of coding guidelines and regulatory requirements
• Participates in process improvement initiatives to reduce denials and improve outcomes

Skills

Analytical thinking

Critical thinking

Problem solving

Collaborative

Documentation accuracy

Education

BSN

Master’s degree preferred

CCDS certification

Job description

Guthrie in Sayre, PA is seeking a skilled Clinical Documentation Improvement (CDI) Specialist responsible for advanced clinical documentation reviews to ensure accuracy, completeness, and integrity of the medical record, supporting quality outcomes, reimbursement, and regulatory compliance.

This role conducts second-level reviews of complex inpatient cases, mortality reviews, denial validation, and PSI/HAC review, identifies documentation gaps, validates clinical accuracy, and collaborates with