Remote Clinical Documentation Audit Specialist

Jefferson Health; Philadelphia (Philadelphia County); On-site; USD 80,000 - 110,000; Full time

Benefits offered by this job

Medical insurance

Retirement plans

Tuition assistance

Job summary

Jefferson Health is seeking a Clinical Documentation Audit Specialist to perform expert CDI reviews of medical records across the enterprise, ensuring accurate data capture for quality reporting and financial integrity.

Under direction of the CDI leadership, you will prepare compliant queries to physicians, participate in enterprise-wide improvement efforts, and support performance improvement initiatives while collaborating across hospital committees.

Qualifications

• Minimum one year experience as a CDI specialist.
• Certified Clinical Documentation Specialist (CCDS) or CDIP certification required or within six months of eligibility.
• Experience with hospital acquired conditions, patient safety indicators, and risk adjustment methods preferred.

Responsibilities

• Review designated medical records for complete documentation supporting CMS/ regulatory and financial requirements.
• Prepare queries to clarify conflicting or missing documentation with physicians and providers.
• Perform second level reviews (mortality, patient safety indicators, sepsis) for accurate quality reporting.
• Support revenue cycle by timely CDI query follow-up for discharged but not final billed cases.

Skills

Clinical record reviews

ICD-10 coding

DRG understanding

Data analysis

Communication skills

Microsoft Office

Education

Bachelor's degree (Nursing/PA/medical graduate)

CCDS or CDIP certification (within 6 months)

Tools

3M encoder

Epic EHR

Excel

PowerPoint

Outlook

Job description

Jefferson Health is seeking a Clinical Documentation Audit Specialist to perform expert CDI reviews of medical records across the enterprise, ensuring accurate data capture for quality reporting and financial integrity.

Under direction of the CDI leadership, you will prepare compliant queries to physicians, participate in enterprise-wide improvement efforts, and support performance improvement initiatives while collaborating across hospital committees.