CDI Auditor

Join Our Award-Winning Team and Work with the Best! With over 40 years of experience and enduring partnerships with our valued clients, we are proud of the stability we’ve built and the long-term success of our dedicated team. We are currently seeking an experienced CDI Auditor to join our team for a full-time remote position.

The CDI Auditor is responsible for reviewing clinical documentation to ensure accuracy, completeness, and compliance with regulatory guidelines and coding standards. This role evaluates the effectiveness of CDI programs, identifies documentation gaps, and provides feedback and education to improve documentation quality, coding accuracy, and reimbursement integrity.

Responsibilities

• Perform high-level, secondary case reviews to ensure accurate and comprehensive provider documentation.
• Perform CDI audits
• Assess documentation alignment with ICD-10-CM/PCS, MS-DRG/APR-DRG, and payer guidelines
• Identify missed or inappropriate diagnoses, procedures, CCs/MCCs, and severity of illness (SOI) / risk of mortality (ROM) opportunities
• Analyze audit findings and prepare detailed reports with trends, risks, and improvement opportunities