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Clinical Documentation Auditor Jobs (NOW HIRING)

CGI Inc.

Clinical Nurse Auditor

Atlanta, GA · On-site

Clinical Nurse Auditor Category: Analytics and Emerging Digital Technologies Main location: United ... You will receive comprehensive training on CGI's audit methodologies, documentation standards, and ...

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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 11, 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.

RN, DRG Coder / Clinical Auditor

Pivotal Placement Services

Biloxi, MS • Remote

$95K - $105K/yr

Full-time

Posted 7 days ago

Job description

RN, DRG Coder / Clinical Auditor
Must be a Registered Nurse with experience

📍 Remote | Full-Time | 🏥 Healthcare | Clinical Documentation & Coding

About the Role

We’re seeking a detail-oriented DRG Coder/Clinical Auditor to perform DRG validation reviews of medical records and documentation. This role ensures accurate coding and clinical support for DRG assignments, helping improve billing accuracy, reimbursement, and compliance. You’ll work independently to review records, validate coding, and communicate findings clearly and professionally.

Key Responsibilities

  • Chart Review & Validation
    Review medical records to validate DRG assignments and ensure clinical documentation supports coding decisions.

  • Physician Documentation Review
    Confirm that physician notes and clinical indicators support assigned DRGs.

  • Audit & Compliance
    Conduct audits to verify coding accuracy, enhance reimbursement, and identify cost-saving opportunities.

  • Coding Expertise
    Apply ICD-10-CM and PCS coding guidelines, payer rules, and regulatory standards (Medicare, Medicaid, CMS).

  • Communication & Reporting
    Clearly document findings and communicate results in a professional and concise manner.

  • Other Duties
    Support additional documentation and coding-related tasks as assigned.

Qualifications
  • Licensure: RN
  • Experience:
    • Minimum 1 year of recent DRG auditing experience in a hospital or health plan setting.
    • Inpatient ICD-10 coding experience required.
    • CDI candidates are encouraged to apply.
  • Certifications:
    • National coding certification through AHIMA (preferred) or AAPC.
    • CCS or CIC strongly preferred.
  • Technical Skills:
    • Proficient in MS and APR DRG methodology.
    • Familiarity with Coding Clinic citations and Official Coding Guidelines.
    • Strong understanding of Medicare/CMS documentation requirements.
  • Soft Skills:
    • Exceptional attention to detail.
    • Strong problem-solving and critical thinking abilities.
    • Effective verbal and written communication.
    • Ability to work independently in a fast-paced, production-driven environment.
  • Tools:
    • Proficient in Microsoft Office Suite.
Compensation

💵 Pay Range: $90,000 – $104,841
Salary is based on location, experience, qualifications, and internal equity. Final compensation may vary depending on assessment during the interview process.

Who We Are

Headquartered in Central Florida, Pivotal Placement Services is a full-service national workforce solutions firm that specializes in placing healthcare professionals—from staff to leadership—with both clinical and non-clinical employers. Our comprehensive and customer-focused workforce solutions include Direct Placement and Managed Service Provider (MSP) / Vendor Managed Services (VMS) engagements nationwide.