Remote CDI Second-Level Reviewer / Pre-Bill Auditor

AMN Healthcare; Austin (TX); Remote; USD 66,000 - 83,000; Full time

Benefits offered by this job

Medical benefits

Paid time off

Paid holidays

Education time

401(k) retirement plan

Short-term disability

Life insurance

Licensure reimbursement

Job summary

AMN Healthcare is seeking an experienced Clinical/CDI Second Level Reviewer to support accurate documentation and coding prior to billing. This role focuses on pre-bill review of inpatient records using clinical expertise and CDI software tools to ensure proper DRG assignment.

The ideal candidate has 3+ years of CDI or coding experience, RN or HIM background, and familiarity with Iodine AwareCDI/AwareUM and major EHRs like Epic.

Qualifications

• RN (preferred) or HIM with at least 3+ years of second level review experience.
• 3+ years of CDI or coding experience focused on inpatient care.
• Experience conducting pre-bill or second level reviews within a hospital or health system.
• Proficient in Iodine software such as AwareCDI or AwareUM.
• Familiarity with MS-DRG/AP-DRG, ICD-10-CM/PCS coding, and clinical guidelines.
• Familiarity with Epic or other major EHR platforms.
• Strong analytical, attention to detail, and communication abilities.

Responsibilities

• Conduct pre-bill and retro reviews to ensure accurate DRG assignment.
• Utilize Iodine software tools to validate principal and secondary diagnoses, procedures, and comorbidities.
• Collaborate with CDI, HIM, and coding teams to resolve discrepancies prior to claim submission.
• Escalate cases requiring physician queries or documentation improvements.
• Monitor trends and support compliance and quality initiatives.
• Document audit findings and recommendations per regulatory guidelines and facility policies.

Skills

Analytical skills

Communication skills

Second level review

Inpatient coding

Education

RN (preferred) or HIM

Tools

Iodine AwareCDI

Epic EHR

Job description

AMN Healthcare is seeking an experienced Clinical/CDI Second Level Reviewer to support accurate documentation and coding prior to billing. This role focuses on pre-bill review of inpatient records using clinical expertise and CDI software tools to ensure proper DRG assignment.

The ideal candidate has 3+ years of CDI or coding experience, RN or HIM background, and familiarity with Iodine AwareCDI/AwareUM and major EHRs like Epic.