Clinical Documentation Auditor – Educator

This is a fully remote position, open to applicants in United States.

📋 Description

• Evaluate the precision, consistency, and adherence of clinical documentation reviews conducted by front-line Clinical Documentation Specialists (CDS).

• Foster the professional growth and development of the Clinical Documentation Improvement (CDI) team.

• Deliver education aimed at providers to enhance clinical documentation practices.

• Conduct both routine and ad hoc audits of CDI queries, documentation reviews, and EHR entries to ensure compliance with internal standards, industry guidelines, and regulatory requirements.

• Assess the appropriateness of queries, clinical evidence, and consistency with coding regulations.

• Maintain internal auditing tools and monitor performance metrics.

• Regularly present audit results to leadership.

• Design and implement comprehensive education programs for CDI.

• Develop and sustain educational materials, tip sheets, and query templates.

• Provide focused documentation education through presentations, individual feedback, and coaching on query responses.

⛳️ Requirements

• Clinical Documentation Professional credential from the Association of Clinical Documentation Improvement Specialists must be obtained prior to hiring or job transfer.

• High school diploma equivalency with 2 years of cumulative experience, or an associate degree/bachelor's degree, or 4 years of relevant job-specific experience.

• Certified Clinical Documentation Specialist (CCDS) certification from ACDIS is required.

• In-depth understanding of CDI best practices, DRG methodologies (MS-DRG and APR-DRG), and coding principles.

• Strong knowledge of SOI/ROM, MCC/CC capture, risk adjustment, quality indicators (PSI, HAC, mortality), and CMS compliance.

• Capability to create engaging educational content for clinical, coding, and administrative audiences.

• Proficiency in audit tools, EHR systems such as Epic, and CDI software platforms like Iodine, 3M, and Nuance.

• Familiarity with ICD-10-CM/PCS, UHDDS, and CMS coding and compliance requirements.

🏝️ Benefits

• Comprehensive health coverage: medical, dental, vision, prescription coverage, along with HSA/FSA options.

• Employer-matched 403(b) retirement plan.

• Access to planning and hardship resources.

• Disability and life insurance provided.

• Pro-rated paid time off (PTO) and holidays.

• Ascension-covered tuition (Vocare) program.

• Tuition reimbursement available.

• Continuous professional development and access to online learning opportunities.

• Employee Assistance Program (EAP) offered.

• Counseling and peer support services included.

• Resources for spiritual care and stress management.

• Parental leave benefits available.

• Adoption assistance and family benefits provided.

• Optional legal and pet insurance offered.

• Transportation savings programs available.