CDI Auditor

1 month, 1 week ago
Full-time
Mid Level
Operations
UASI Solutions

UASI Solutions

UASI Solutions is a top provider of revenue cycle solutions for healthcare facilities, offering coding services and Health Information Management solutions with a focus on accuracy and efficiency.

Diversified Financial Services
251-1K
Founded 1984

Description

  • Perform high-level secondary case reviews to ensure provider documentation is accurate and comprehensive.
  • Conduct CDI audits and second-level reviews.
  • Assess documentation against ICD-10-CM/PCS, MS-DRG/APR-DRG, and payer guidelines.
  • Identify missed or inappropriate diagnoses, procedures, CCs/MCCs, and SOI/ROM opportunities.
  • Analyze audit findings and prepare detailed reports on trends, risks, and improvement opportunities.
  • Provide feedback and education to CDI specialists, coders, and clinical staff.
  • Evaluate the effectiveness of CDI programs and identify documentation gaps.

Requirements

  • CCDS or CDIP certification is required.
  • RN background is preferred but not required.
  • Minimum of 3 years of CDI experience.
  • Experience performing CDI audits and second-level reviews.
  • Thorough knowledge of official medical coding guidelines, CMS, and private payer regulations related to the Inpatient Prospective Payment System.
  • Ability to communicate with physicians and hospital staff in a collaborative manner to support documentation and quality improvement.
  • Clinical background is preferred.
  • Experience working with ICD-10-CM/PCS, MS-DRG/APR-DRG, and payer guidelines.

Benefits

  • Full-time remote position.
  • Competitive pay.
  • Full benefits.
  • PTO.
  • Career growth and development opportunities.
  • Professional education and development support.
  • Dynamic work environment.
  • Strong leadership.

Interested in this position?

Apply directly on the company website

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