CDI Reconciliation Auditor

Job Summary

A company is looking for a CDI Reconciliation Auditor who will perform detailed quality reviews and reconciliations of clinical documentation and coding outcomes.

Key Responsibilities

• Conduct reconciliations of CDI and coding outcomes to ensure alignment with final DRG assignments
• Review discrepancies between CDI specialists and coders, resolving variances to support accurate claim submission
• Perform quality audits on Physician Audit reviews to validate the appropriateness of coding and documentation

Required Qualifications

• Bachelor's degree in Nursing, Health Information Management, or a related field; or equivalent clinical experience
• 3-5 years of experience in CDI, coding, or clinical auditing roles
• Strong background in DRG validation and Physician Audit processes
• Certified Coding Specialist (CCS) or equivalent coding certification required
• Certified Clinical Documentation Specialist (CCDS) or Clinical Documentation Improvement Practitioner (CDIP) preferred