UASI

CDI Auditor

Remote

Role brief

What this role is asking for.

Join Our Award-Winning Team and Work with the Best! With over 40 years of experience and enduring partnerships with our valued clients, we are proud of the stability weโ€™ve built and the long-term success of our dedicated team. We are currently seeking an experienced CDI Auditor to join our team for a full-time remote position. The CDI Auditor is responsible for reviewing clinical documentation to ensure accuracy, completeness, and compliance with regulatory guidelines and coding standards. This role evaluates the effectiveness of CDI programs, identifies documentation gaps, and provides feedback and education to improve documentation quality, coding accuracy, and reimbursement integrity. Responsibilities Perform high-level, secondary case reviews to ensure accurate and comprehensive provider documentation. Perform CDI audits Assess documentation alignment with ICD-10-CM/PCS, MS-DRG/APR-DRG, and payer guidelines Identify missed or inappropriate diagnoses, procedures, CCs/MCCs, and severity of illness (SOI) / risk of mortality (ROM) opportunities Analyze audit findings and prepare detailed reports with trends, risks, and improvement opportunities Provide feedback and education to CDI specialists, coders, and clinical staff Qualifications The ideal candidate will have a clinical background with a thorough knowledge of official medical coding guidelines, CMS, and private payer reg...

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