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Clinical Documentation Auditor Jobs (NOW HIRING)

baymark

Clinical Documentation Auditor

Portsmouth, OH · On-site

$28 - $37.75/hr

Ensuring the appropriate maintenance and auditing of all individual client records in EHR ... Review all notes to match ISP goals / clinical documentation. * Monitors accuracy of all currently ...

TidalHealth

Clinical Documentation Specialist

Salisbury, MD · Hybrid

$34.25 - $46.25/hr

Previous medical record coding/documentation auditing experience * Experience with APR DRG & MS-DRG payment systems * Experience with ICD10 coding methodology, coding guidelines and Clinical ...

Zotec Partners

Clinical Documentation Manager

As a Clinical Documentation Manager , you will perform concurrent and retrospective review of the ... Minimum of 5 years coder training and/or chart auditing experience for coding of the professional ...

Guidehouse

Clinical Documentation Specialist

$61K - $101K/yr

Collaborates closely with Coders, Coding Educators, Coding Quality Auditors, Case managers, Quality Department and Providers to assure documentation is clinically appropriate, accurately reflects the ...

Guidehouse

Clinical Documentation Specialist

$74K - $124K/yr

Collaborates closely with Coders, Coding Educators, Coding Quality Auditors, Case managers, Quality Department and Providers to assure documentation is clinically appropriate, accurately reflects the ...

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 ...

Guidehouse

Clinical Documentation Specialist

$61K - $101K/yr

Collaborates closely with Coders, Coding Educators, Coding Quality Auditors, Case managers, Quality Department and Providers to assure documentation is clinically appropriate, accurately reflects the ...

Mercor

Clinical Documentation Specialist - CDI

New York, NY · Remote

$50 - $150/hr

Qualifications Must-Have * 2+ years of professional experience in inpatient hospital CDI, inpatient DRG coding/auditing, or clinical-documentation denial management. * Current or recent hands-on work ...

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Clinical Documentation Auditor information

See salary details

$39.5K

$108.4K

$163K

How much do clinical documentation auditor jobs pay per year?

As of Aug 10, 2026, the average yearly pay for clinical documentation auditor in the United States is $108,414.00, according to ZipRecruiter salary data. Most workers in this role earn between $82,500.00 and $146,500.00 per year, depending on experience, location, and employer.

What is the difference between Clinical Documentation Auditor vs Medical Records Technician?

AspectClinical Documentation AuditorMedical Records Technician
CertificationsCPMA, RHIT, or RHIA often preferredRHIT or RHIA often preferred
Work EnvironmentHospitals, clinics, insurance companiesHospitals, healthcare facilities
Job FocusReviewing clinical documentation for accuracy and complianceOrganizing and managing patient records

The Clinical Documentation Auditor and Medical Records Technician roles both involve working with healthcare records, but the auditor focuses on reviewing clinical documentation for accuracy and compliance, while the technician manages and organizes patient records. Both roles require similar certifications and are found in healthcare settings, but their primary responsibilities differ.

What is a clinical documentation auditor?

Clinical Documentation Auditors are healthcare professionals who review patient medical records to ensure that documentation is accurate, complete, and compliant with regulatory standards. They help identify discrepancies or gaps in clinical documentation that could impact patient care, billing, and coding accuracy. Their work supports proper reimbursement, reduces the risk of audits or penalties, and improves overall healthcare quality. Clinical Documentation Auditors often collaborate with physicians, nurses, and coding staff to clarify documentation and provide education on best practices.

What are the key skills and qualifications needed to thrive as a clinical documentation auditor?

To excel as a Clinical Documentation Auditor, you need a strong background in clinical coding, healthcare regulations, and medical terminology, usually backed by a degree in health information management and certifications like RHIA, RHIT, or CDIP. Familiarity with electronic health record (EHR) systems, coding software (such as 3M or EPIC), and compliance tools is crucial. Attention to detail, analytical thinking, and effective communication skills help auditors identify discrepancies and collaborate with healthcare providers. These competencies ensure accurate documentation, regulatory compliance, and optimal reimbursement for healthcare organizations.

What are some common challenges faced by clinical documentation auditors, and how can they be addressed?

Clinical Documentation Auditors often encounter challenges such as incomplete or inconsistent medical records, varied documentation practices among providers, and staying updated with changing compliance regulations. Addressing these challenges involves strong attention to detail, effective communication skills to provide feedback to clinicians, and ongoing education to remain current with industry standards and legal requirements. Collaborating closely with coding professionals and healthcare providers can also help ensure documentation accuracy and support continuous improvement in documentation practices.
More about Clinical Documentation Auditor jobs
What cities are hiring for Clinical Documentation Auditor jobs? Cities with the most Clinical Documentation Auditor job openings:
What states have the most Clinical Documentation Auditor jobs? States with the most job openings for Clinical Documentation Auditor jobs include:
What job categories do people searching Clinical Documentation Auditor jobs look for? The top searched job categories for Clinical Documentation Auditor jobs are:
Clinical Documentation Auditor jobs near you
Infographic showing various Clinical Documentation Auditor job openings in the United States as of August 2026, with employment types broken down into 77% Full Time, 17% Part Time, and 6% Contract. Highlights an 94% In-person, and 6% Remote job distribution, with an average salary of $108,414 per year, or $52.1 per hour.

Clinical Documentation Auditor

Centers Home

Pompano Beach, FL

Full-time

Re-posted 13 days ago

Job description

Job Description: Clinical Documentation Auditor ? CHHA

Department: Compliance / Clinical Review / Care Standards

Reports To: VP of Clinical Operations

Position Summary

The Clinical Documentation Auditor is responsible for reviewing clinical documentation across patient charts to ensure accuracy, completeness, and compliance with regulatory, payer, and agency standards. The auditor provides feedback to clinicians and leadership, helps identify documentation trends, and supports ongoing quality improvement initiatives within the Certified Home Health Agency (CHHA).

Key Responsibilities

  • Perform routine and focused audits of patient charts for:
    - Timely completion of Start of Care (SOC), Recertification, and Discharge OASIS
    - Visit documentation (nursing, therapy, aide)
    - Plan of Care compliance
    - MD order management and signed/verbal order tracking
    - Medication reconciliation
    - Visit frequency adherence
    - Missed visit documentation and follow-up
    - Care coordination and patient goals documentation
    - Assessment of comorbid conditions, safety, and environment
  • Verify that documentation supports medical necessity, homebound status, and meets payer requirements (including Medicare).
  • Identify gaps, trends, or inconsistencies in documentation and escalate as appropriate.
  • Collaborate with clinical leadership to provide feedback and education to field staff.
  • Assist in preparing for surveys and audits by regulatory or accrediting bodies.
  • Participate in development and updating of internal audit tools and workflows.
  • Maintain up-to-date knowledge of CHHA regulations, Medicare Conditions of Participation, and payer documentation requirements.

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