Part-Time CDI Auditor: Elevate Medical Records

Wellstar Health System; Georgia; On-site; USD 90,000 - 130,000; Full time

Job summary

Wellstar Health System is seeking a Clinical Documentation Integrity (CDI) Auditor in Georgia. The role involves evaluating and improving the quality and accuracy of patient records to better reflect clinical severity and level of service.

You will partner with CDI educators, providers, and coders to educate, audit, and enhance documentation practices, ensuring compliance and optimal reimbursement.

Qualifications

• CDI/Coding auditing experience in a healthcare setting.
• Ability to interpret documentation to reflect severity of illness and mortality risk.
• Proficiency with Microsoft Word, Excel, and PowerPoint.
• Strong communication with clinicians and leadership.
• Data analysis and reporting experience.

Responsibilities

• Initiates audits and prepares findings for CDI Education Lead.
• Audits medical records to identify opportunities for documentation improvement.
• Provides real-time audits and feedback on process, queries, and compliance.
• Reviews data and trends to identify additional opportunities.
• Ensures documentation supports accurate coding and billing per regulations.
• Participates in required departmental meetings and education.

Skills

Clinical Documentation

Auditing

Coding accuracy

Communication

Team collaboration

Problem solving

Data analysis

Time management

Education

Associates Nursing

Bachelor's Health Science

Accredited Health Science Program

Doctorate of Medicine

Tools

Epic

3M 360 Encompass

Encoder software

Job description

Wellstar Health System is seeking a Clinical Documentation Integrity (CDI) Auditor in Georgia. The role involves evaluating and improving the quality and accuracy of patient records to better reflect clinical severity and level of service.

You will partner with CDI educators, providers, and coders to educate, audit, and enhance documentation practices, ensuring compliance and optimal reimbursement.