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Clinical Documentation Auditor Jobs (NOW HIRING)

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Clinical Documentation Improvement Specialist

$48K - $81K/yr

As our Clinical Documentation Improvement (CDI) Specialist, you will use clinical and coding ... Collaborates with coders, auditors, quality improvement teams, and other stakeholders to resolve ...

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Clinical Documentation Auditor information

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$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 IMPROVEMENT SPECIALIST

Cooper University Hospital

Camden, NJ • On-site

$46.87/hr

Other

Medical, Dental, Vision, Life, Retirement

This job post has expired today. Applications are no longer accepted.

Cooper University Health Care rating

7.5

Company rating: 7.5 out of 10

Based on 133 frontline employees who took The Breakroom Quiz

232nd of 887 rated healthcare providers

Job description

CLINICAL DOCUMENTATION IMPROVEMENT SPECIALIST Camden, NJ Job ID CR19113 Job Type Per Diem Shift Day Specialty HIM/Coding
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About us

Cooper University Health Care is an integrated healthcare delivery system serving residents and visitors throughout Cape May County. The system includes Cooper University Hospital Cape Regional; three urgent care facilities; nearly 30 primary care and specialty care offices in multiple locations throughout Cape May County; The Cancer Center at Cooper University Hospital Cape Regional; the Claire C. Brodesser Surgery Center; AMI at Cooper, Miracles Fitness and numerous freestanding outpatient facilities providing wound care, lab, and physical therapy services. We have a commitment to our employees by providing competitive rates and compensation programs. Cooper offers full and part time employees a comprehensive employee benefits program, including health, dental, vision, life, disability, retirement, on-site Early Education Center (employee discount), attractive working conditions, and the chance to build and explore a career opportunity by offering professional development.


Short Description
  • Concurrently review inpatient medical records for clear consistent, concise, legible and accurate documentation to reflect the patient's severity of illness and intensity of services.
  • Generate and utilize queries to clarify physician documentation whenever there is conflicting, ambiguous or incomplete information in the medical record regarding any significant reportable condition or procedure.
  • Complete analysis of clinical information to identify gaps in clinical documentation. To "bridge the gap" utilize the physician advisor for clarification of clinical presentation.
  • Collaboratively work with HIM Leadership, Coders, Coding Quality Educators/Reviewers and peers to improve accuracy of final DRG.
  • Collaborate and provide educational support to physicians, nurses and ancillary staff to facilitate modifications of clinical documentation processes that promote documentation improvement.
  • Facilitates modifications to clinical documentation through concurrent interaction with physicians, nursing staff, other patient caregiver and Health Information coding staff to support that appropriate reimbursement and clinical severity is captured for the level of service rendered to all inpatients.
  • Provide clinical review of cases denied for medical necessity by auditing agencies. Using knowledge of medical necessity criteria assist physician advisor in collecting pertinent information to support an appeal.

Education Requirements

Bachelor of Science in Nursing preferred; however, candidates with any bachelor's degree will be considered if they have CDI experience.

Hourly Rate Min $46.87
Hourly Rate Max $70.31

The New Jersey Pay Transparency Act requires disclosure of the pay range for this position.

A salary offer will vary based on the job role, candidate experience, qualifications, internal pay equity and market data.

Cooper University Health Care is an Equal Opportunity Employer and is committed to equal employment opportunity for all team members. All employment decisions are based on business needs, job requirements and individual qualifications, without regard to race, color, religion or belief, or any other status protected by law or regulation. To request reasonable accommodation, contact talent-acquisition@cooperhealth.edu

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