Clinical Documentation Auditor/Educator (Remote)

Memorial Hermann Health System; Houston (TX); Remote; USD 70,000 - 90,000; Full time

Job summary

A leading healthcare organization is seeking a Clinical Documentation Auditor/Educator to enhance the quality and accuracy of medical record documentation. This role involves conducting audits, educating medical staff, and collaborating on improvement initiatives across multiple facilities. Ideal candidates will have a nursing background and experience in clinical documentation improvement, with a focus on compliance and quality standards.

Qualifications

• 3-5 years of CDS experience; auditing and education background preferred.
• Current State of Texas nursing license or equivalent; CCDS required.

Responsibilities

• Conduct audits to ensure documentation quality and compliance.
• Track and report audit findings; identify knowledge gaps.

Skills

Communication

Analytical Skills

Detail-Oriented

Self-Motivated

Team Player

Multitasking

Education

Bachelor's in Nursing

Master’s

Tools

MS Office

3M software

Cerner EMR

Job description

Clinical Documentation Auditor/Educator (Remote)

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Job Summary

The Clinical Documentation Improvement (CDI) Auditor Educator will facilitate system-wide improvements in the quality, completeness, and accuracy of medical record documentation through audits, education, and data analysis. Responsibilities include identifying patterns and opportunities for improvement across all acute care facilities, assisting with retrospective audits, and educating physicians as needed. Reports to the CDI Quality/Education Manager.

Job Description

• Must have Clinical Documentation experience.
• Eligible states: Texas, Louisiana, Oklahoma, Florida, Georgia, Tennessee, South Carolina. Residency in one of these states required.

Minimum Qualifications

• Education: Bachelor's in Nursing required; Master’s preferred.
• Licenses/Certifications: Current State of Texas nursing license or equivalent; CCDS required; AHIMA ICD-10-CM/PCS Trainer preferred.
• Experience: 3-5 years of CDS experience; auditing and education background preferred.
• Skills: Proficiency in MS Office, 3M software; experience with Cerner EMR preferred; excellent communication and analytical skills; detail-oriented; self-motivated; team player; able to multitask.

Principal Accountabilities

• Conduct audits to ensure documentation quality and compliance.
• Track and report audit findings; identify knowledge gaps; provide education and training.
• Research clinical and coding guidelines; assist in improving documentation practices.
• Develop policies, collaborate on audits, and ensure adherence to safety and quality standards.
• Support professional growth and serve as a resource for staff.

Additional Details

• Seniority level: Mid-Senior level
• Employment type: Full-time
• Industry: Hospitals and Health Care