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Clinical Cdi Auditor Jobs (NOW HIRING)

Covenant Health

CORP CDI AUDITOR-EDU

Knoxville, TN · On-site

$14.25 - $19/hr

The CDI Auditor/Educator performs and reviews complex internal coding and clinical documentation audits for inpatient CDI accounts. This role leads or conducts audit projects across Covenant Health ...

Covenant Health

CORP CDI AUDITOR-EDU

Knoxville, TN · On-site

$14.25 - $19/hr

The CDI Auditor/Educator performs and reviews complex internal coding and clinical documentation audits for inpatient CDI accounts. This role leads or conducts audit projects across Covenant Health ...

Solventum

$25.75 - $34.50/hr

Clinical Documentation Specialist (CDI) (Solventum) Thank you for your interest in joining ... Experience auditing practices, ICD 10, PCS guidelines, quality initiatives, and MS-DRG and APR DRG ...

Patientco

Clinical Product Consultant - CDI

ABOUT THIS POSITION The CDI Product Consultants at Waystar joins a seasoned Clinical team that ... auditing and providing clinical insight into the product development. WHAT YOU'LL DO Transfer ...

Waystar

Clinical Product Consultant - CDI

... auditing and providing clinical insight into the product development. WHAT YOU'LL DO • Transfer ... CDI Suite of products and workflows to new and client users • Provide client support to drive ...

Healthcare

Clinical Documentation Specialist (CDI)

$35.50 - $47.75/hr

Clinical Documentation Specialist (CDI) (Solventum) 3M Health Care is now Solventum At Solventum ... Experience auditing practices, ICD 10, PCS guidelines, quality initiatives, and MS-DRG and APR DRG ...

Solventum

Clinical Documentation Specialist (CDI)

$35.50 - $47.75/hr

Clinical Documentation Specialist (CDI) (Solventum) 3M Health Care is now Solventum At Solventum ... Experience auditing practices, ICD 10, PCS guidelines, quality initiatives, and MS-DRG and APR DRG ...

Solventum

Clinical Documentation Specialist (CDI)

$35.50 - $47.75/hr

Clinical Documentation Specialist (CDI) (Solventum) 3M Health Care is now Solventum At Solventum ... Experience auditing practices, ICD 10, PCS guidelines, quality initiatives, and MS-DRG and APR DRG ...

WVU Medicine

CDI Educator

... include auditing, mentoring and education modules. 4. Responsible analyzing data to ascertain where stronger education for providers and staff. 5. Serves as expert CDI resource to clinical ...

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Clinical Cdi Auditor information

What is a clinical CDI auditor?

Clinical CDI Auditors are healthcare professionals who review medical records to ensure that clinical documentation accurately reflects the diagnoses, treatments, and quality of care provided to patients. Their primary role is to ensure documentation is complete, compliant, and supports accurate coding for billing and reporting purposes. They collaborate with physicians, nurses, and coding specialists to clarify documentation and identify opportunities for improvement. By doing so, they help healthcare organizations comply with regulations, optimize reimbursement, and improve patient care quality.

What are the key skills and qualifications needed to thrive as a clinical CDI auditor, and why are they important?

To thrive as a Clinical CDI Auditor, you need a comprehensive understanding of clinical documentation, coding standards (such as ICD-10-CM), and healthcare regulations, often supported by an RHIA, RHIT, CCS, or CCDS certification. Familiarity with EHR systems, clinical documentation improvement software, and audit tools is essential. Strong analytical thinking, attention to detail, and effective communication skills help facilitate collaboration with healthcare providers. These competencies are crucial to ensuring accurate medical records, regulatory compliance, and optimal reimbursement outcomes.

What are some common challenges clinical CDI auditors face when reviewing medical records, and how can they overcome them?

Clinical CDI Auditors often encounter challenges such as incomplete documentation, ambiguous clinical language, or discrepancies between physician notes and coding requirements. To overcome these issues, auditors must maintain strong communication with healthcare providers, stay current with coding guidelines, and use critical thinking to clarify and query appropriately. Building collaborative relationships with clinical staff and participating in ongoing training helps ensure accurate, compliant documentation and supports patient care goals.

What are popular job titles related to Clinical Cdi Auditor jobs?

For Clinical Cdi Auditor jobs, the most frequently searched job titles are:

CDI Auditor & Educator

Knoxville, TN • On-site

Covenant Health (Tennessee)
See more jobs at Covenant Health (Tennessee)external

$33.25 - $44.50/hr

Other

Posted 26 days ago

Job description

CDI Auditor & Educator

Full Time, 80 Hours Per Pay Period, Day Shift

Covenant Health Overview:

Covenant Health is the region's top-performing healthcare network with 10 hospitals, outpatient and specialty services, and Covenant Medical Group, our area's fastest-growing physician practice division. Headquartered in Knoxville, Covenant Health is a community-owned integrated healthcare delivery system and the area's largest employer. Our more than 11,000 employees, volunteers, and 1,500 affiliated physicians are dedicated to improving the quality of life for the more than two million patients and families we serve every year. Covenant Health is the only healthcare system in East Tennessee to be named a Forbes "Best Employer" seven times.

Position Summary:

The CDI Auditor/Educator performs and reviews complex internal coding and clinical documentation audits for inpatient CDI accounts. This role leads or conducts audit projects across Covenant Health entities, focusing on coding, documentation, and billing compliance. The position also provides consulting services, coordinates coding investigations, and is responsible for education and training of CDI staff. The CDI Auditor/Educator serves as a resource to coders, CDI professionals, Quality and Case Managers, and Decision Support teams.

This role upholds all organizational and professional ethical standards and collaborates with Covenant leadership to coach, mentor, and train coding and CDI staff. The position operates independently with minimal supervision and significant latitude for initiative and independent judgment.

Responsibilities
  • Identify and evaluate risk areas; develop and implement CDI auditing procedures related to documentation and reimbursement.
  • Collaborate with coders and/CDI staff to provide education and feedback; proactively addresses issues with CDI management.
  • Monitor CMS and OIG publications to ensure compliance with coding, billing, and reimbursement regulations.
  • Reviews third- party payers guidelines to ensure accurate claims charging, coding, and billing.
  • Communicate audit results through written reports and presentations to relevant stakeholders.
  • Documents audit activities and report findings regularly.
  • Serve as a resource for hospital departments regarding coding and documentation.
  • Conduct CDI audits with regards to payor denials if/when necessary.
  • Collaborate with health information management, Revenue Integrity, patient accounting, and other departments to implement compliance solutions.
  • Support the Chief Compliance Officer on coding, billing and reimbursement compliance issues.
  • Performs ongoing audits to identify process improvement education opportunities.
  • Deliver detailed ICD-10 training to CDI staff.

General:

  • Maintains professional development through continuing education and industry engagement.
  • Recognizes situations requiring supervision and seeking appropriate guidance.
  • Follows policies, procedures, and safety standards. Completes required education assignments annually. Works toward achieving goals and objectives, and participates in quality improvement initiatives as requested.
  • Performs other duties as assigned.
Qualifications

Minimum Education:

None specified; however, must be sufficient to meet the standards for achievement of the below indicated license and/or certification as required by the issuing authority.

Minimum Experience:

Three (3) to five (5) years' experience in CDI. Good working knowledge of healthcare billing, Medicare/Medicaid billing guidelines, and other Third Party Payor rules and Regulations. Experience in problem solving, analytical reviews, Must be knowledgeable in use of PC's, Windows, Excel and Word Processing; Must have good public relations, educational skills.

Licensure Requirement:

Certification in field of study. The following certifications are acceptable RHIT/RHIA, CCS, CCDS, or CDIP.

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