Clinical Documentation Auditor
Role Overview
The Clinical Documentation Integrity (CDI) Auditor must be good at problem-solving, clinical and coding knowledge, and communicating and collaborating.
The CDI Auditor evaluates the quality and accuracy of the clinical documentation in the patient record, and works with the CDI team, providers, and coders to make sure the record shows the patient's clinical severity and level of service.
The CDI auditor also looks at the performance of the CDI team and finds areas to improve.
CDI auditor audits provider documentation, CDI and coding accuracy to confirm or find ways to improve proper documentation.
CDI auditor gives feedback and education to the CDI team and coders on documentation and coding best practices and helps the CDI department and organization achieve clinical and operational excellence in Clinical Documentation Improvement efforts.
Full Job Posting
Required Minimum Education:
Associates Nursing or Bachelors Health Science or Accredited Program Health Science or Doctorate Medicine
Required Minimum License(s) and Certification(s):
Cert Clin Document Specialist within 180 Days or Cert Document Improvement Prac within 180 Days
Reg Nurse (Single State)-Preferred or RN - Multi-state Compact-Preferred or Cert Coding Spec-Preferred or Cert Prof Coder-Preferred or Reg Health Information Admin-Preferred or Reg Health Information Tech-Preferred
Required Minimum Skills:
- Join us and discover the support to do more meaningful work—and enjoy a more rewarding life. Connect with the most integrated health system in Georgia, and start a future that gives you more.
Requirements
- Join us and discover the support to do more meaningful work—and enjoy a more rewarding life. Connect with the most integrated health system in Georgia, and start a future that gives you more.
About Wellstar Health System
Enhancing the health and well-being of every person served.
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