Clinical Documentation Improvement Auditor, Registered Nurse

This is a fully remote position, open to applicants in Florida, +10 more states.

📋 Description

• Conduct quality audits on members of the CDI team while providing education and constructive feedback.

• Ensure compliance with coding standards by utilizing Coding Clinic, established authorities, coding regulations, corporate compliance standards, and reimbursement policies.

• Identify training requirements and ensure adherence to quality and productivity benchmarks.

• Provide guidance on compliant query processes and organize huddles as necessary.

• Stay updated on new coding and DRG guidelines and regulatory changes.

• Collaborate with the manager to implement policies and procedures pertaining to coding and regulatory updates.

• Prepare audit reports for CDI leadership.

• Develop and maintain compliant physician query templates.

• Act as a clinical coding liaison and assess documentation issues in conjunction with relevant clinical, coding, medical, and departmental teams.

• Create and deliver CDI education for physicians, coders, and CDI team members.

• Mentor and develop team members to accomplish team objectives.

• Support patient financial services and coding team members with CDI, coding, and query inquiries.

• Assist leadership with iCare initiatives related to hospital CDI.

• Collaborate with Quality, CDI, Coding, leadership, and Physician Advisor teams as a CDI subject-matter expert/resource.

• Prepare and present clinical documentation monitoring and trend analysis reports.

• Conduct research and data analysis.

• Document findings from compliance reviews.

• Comply with established productivity standards.

• Communicate case status and resolutions with CDI and the CDI Director.

⛳️ Requirements

• Associate degree in Nursing (Required).

• Bachelor's degree in Nursing or a healthcare-related field (Preferred).

• 3-4 years of nursing experience (Required).

• 3-4 years of CDI experience (Required).

• 1 year of auditing experience (Required).

• Proficient in Microsoft Office, encoder, and EHR.

• Capability to provide CDI and/or coding education to providers, CDI staff, and coders.

• Strong verbal and written communication abilities.

• Exceptional attention to detail.

• Ability to apply audit standards effectively.

• Intermediate skills in Excel, PowerPoint, and Word.

• Excellent interpersonal and presentation capabilities.

• Strong time management skills and follow-through.

• Knowledgeable in human disease processes, anatomy and physiology, and medical terminology.

• Understanding of coding practices, official coding guidelines, and federal regulations.

• Ability to adapt to changes in the work environment.

• Registered Nurse (RN) license is required.

• Certification as a Clinical Documentation Specialist (CD) or Certified Documentation Integrity Practitioner (CDIP) is required.

• Certification as a Coding Specialist (CCS), Registered Health Information Administrator (RHIA), or Registered Health Information Technician (RHIT) is preferred/optional.

🏝️ Benefits

• Eligibility for remote work for candidates living in specified states.

• Full-time day shift.