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 CDS.

• Facilitate the professional growth of the CDI team.

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

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

• Assess the suitability of queries, clinical evidence, and conformity with coding regulations (ICD-10-CM/PCS, UHDDS, CMS).

• Manage internal audit tools and monitor performance metrics.

• Regularly present findings to leadership.

• Design and implement comprehensive CDI education programs.

• Develop and update educational materials, tip sheets, and query templates to align with advancing CDI best practices.

• Provide targeted documentation education to providers through presentations, personalized feedback, and coaching on query responses.

⛳️ Requirements

• Clinical Documentation Prof. credential from the Association of Clinical Documentation Improvement Specialists, obtained prior to the hire date or job transfer date.

• High School diploma equivalency with 2 years of cumulative experience OR an Associate's or Bachelor's degree OR 4 years of relevant cumulative job-specific experience required.

• Certified Clinical Documentation Specialist (CCDS) certification from the Association of Clinical Documentation Improvement Specialists.

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

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

• Demonstrated ability to create engaging educational content tailored to varied audiences (clinical, coding, administrative).

• Proficient with audit tools, EHR systems (e.g., Epic), and CDI software platforms (e.g., Iodine, 3M, Nuance).

• Schedule availability: Monday-Friday, during daytime hours.

🏝️ Benefits

• Extensive health coverage: medical, dental, vision, prescription coverage, and HSA/FSA options.

• Employer-matched 403(b) plan.

• Resources for planning and hardship situations.

• Disability and life insurance benefits.

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

• Tuition assistance provided by Ascension (Vocare).

• Reimbursement opportunities.

• Continuous professional development and online learning options.

• Employee Assistance Program available.

• Counseling and peer support services offered.

• Resources for spiritual care and stress management.

• Parental leave benefits.

• Adoption assistance and family support options.

• Optional legal and pet insurance available.

• Transportation savings programs.