Clinical Documentation Integrity Auditor (Remote based in USA)

Tenet Healthcare; Dallas (TX); Remote; USD 60,000 - 100,000; Full time

Job summary

An established industry player is seeking a Clinical Documentation Integrity Auditor to enhance the accuracy of clinical documentation in a remote capacity. This role involves auditing inpatient encounters, ensuring compliance with coding guidelines, and producing clear audit reports. The ideal candidate will possess a strong clinical knowledge base, excellent analytical skills, and a proven ability to work independently in a virtual environment. Join a forward-thinking organization that values precision and integrity in healthcare documentation, and make a significant impact on patient care through your expertise.

Qualifications

• 5+ years of CDI experience in an acute care setting.
• Proficiency in coding guidelines and clinical documentation.

Responsibilities

• Audit clinical documentation of inpatient encounters for accuracy.
• Create clear audit reports and maintain productivity.

Skills

ICD-10-CM/PCS coding

Clinical documentation auditing

Interpersonal skills

Time management

Detail-oriented

Education

Bachelor’s degree in healthcare

CCDS, CDIP, or coding certification

Tools

MS Word

Excel

EMR

Iodine

Job description

Clinical Documentation Integrity Auditor (Remote based in US)

The CDI Auditor is responsible for performing audits on CDIS reviews of inpatient encounters to clarify provider documentation and ensure accurate and complete documentation specificity. The position requires proficiency in ICD-10-CM/PCS coding, a broad clinical knowledge base, and the ability to critically analyze the CDI process.

**Minimum Requirements:**

• Ability to accurately audit clinical documentation of inpatient encounters
• Ability to create clear audit reports and maintain productivity
• Understanding of coding guidelines, anatomy, physiology, and coding references
• Knowledge of MS-DRG and APR-DRG classifications
• Proficiency in MS Word, Excel, EMR, and Iodine
• Ability to conduct online meetings and report findings
• Detail-oriented with the ability to work independently
• Excellent interpersonal skills
• Time management and discipline
• Experience working in a virtual environment
• Five years of CDI experience in an acute care setting
• Bachelor’s degree in healthcare (RN, MBBS, RHIA)
• CCDS, CDIP, or coding certification