Remote CDI Audit Specialist — Clinical Documentation Expert

Jefferson Health Plans

Pennsylvania

On-site

USD 85,000 - 110,000

Full time

14 days+

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Benefits offered by this job

Medical insurance

Dental and vision insurance

Life and AD&D insurance

Short- and long-term disability

Tuition assistance

Job summary

Thomas Jefferson University seeks a Clinical Documentation Audit Specialist to conduct expert CDI reviews across the enterprise, ensuring accurate data reporting and providing educational feedback to CDI managers. You will identify opportunities to partner with providers for precise clinical capture and participate in enterprise-wide performance improvement efforts.

Required: CCDS/CDIP certification, 2+ years CDI experience, strong ICD-10/DRG/Epic proficiency, and excellent communication.

Qualifications

Experience with quality record reviews (PSI, mortality) preferred.
Strong clinical record review knowledge: 3M encoder, DRG, Epic.
Expert ICD-10 coding conventions; severity of illness/risk of mortality.

Responsibilities

Interacts with co-workers, visitors, & other staff consistent with Jefferson values.
Accurately reviews designated records for CMS/regulatory compliance and data capture.
Performs second-level reviews (mortality, PSI, sepsis) for quality reporting and liaison duties.
Prepares compliant queries to clarify conflicting/missing documentation with physicians.
Supports revenue cycle with timely CDI query follow-up and escalation per process.
Coordinates with management to conduct quarterly quality record review audits of CDI staff.
Assists with enterprise-wide documentation improvement projects and workflow improvements.
Participates in hospital committees to study records and improve clinical documentation quality.