Senior Clinical Documentation Auditor & CDI Team Lead

University of Southern California; Los Angeles (CA); On-site; USD 92,000 - 151,000; Full time

Job summary

Keck Hospital of USC in Los Angeles seeks a Senior Clinical Documentation Specialist – Auditor (CDS) to lead and educate the CDI team, engaging physicians and clinical staff to ensure accurate DRG assignment and enhance hospital quality metrics.

The role requires an RN license or foreign medical graduate, 3+ years in CDI and acute care, and offers compensation with an hourly range of $66.56–$109.82. This position emphasizes denial prevention, education, and cross-department collaboration.

Qualifications

• Bachelor's degree required.
• Registered nursing license or foreign medical graduate required.
• 3+ years of clinical documentation improvement experience.
• 3+ years of clinical experience in an acute care setting.

Responsibilities

• Directs and educates physicians/residents and clinical staff on CDI processes and goals.
• Oversees day-to-day operations and training of new employees.
• Involved in clinical denial/appeal processes for DRG challenges and validations.
• Performs audits for denial prevention, quality comorbidities, and risk adjustment data audits.
• Implements physician queries using MEAT methodology and educates providers and CDS staff.
• Tracks CDI metrics and ensures data integrity and non-leading queries.
• Conducts retrospective reviews for mortality and quality metrics.
• Serves as a subject matter expert for CDS, coders, and other departments.

Education

Bachelor's degree

Registered nursing or foreign medical graduate

Job description

Keck Hospital of USC in Los Angeles seeks a Senior Clinical Documentation Specialist – Auditor (CDS) to lead and educate the CDI team, engaging physicians and clinical staff to ensure accurate DRG assignment and enhance hospital quality metrics.

The role requires an RN license or foreign medical graduate, 3+ years in CDI and acute care, and offers compensation with an hourly range of $66.56–$109.82. This position emphasizes denial prevention, education, and cross-department collaboration.