Clinical Documentation Integrity Auditor

Job Summary

To support the Quality & Risk Adjustment strategy, the full-time Clinical Documentation Integrity Auditor will perform medical record audits, validate coding accuracy, and initiate provider queries, all while working remotely.

Key responsibilities

• Conduct medical record audits based on organizational priorities, including concurrent and retrospective reviews
• Perform coding validation to confirm, adjust, or clarify diagnoses as needed
• Utilize AI tools and collaborate with the CDI Manager to enhance coding quality and compliance

Required qualifications

• 3+ years of experience in outpatient Clinical Documentation Improvement or 5+ years in risk adjustment coding/auditing
• Relevant certifications such as CPC, CRC, CDIP, CCDS, or CCS
• Experience with AI tools and Google Suite
• Prior CPT coding experience is a plus