The Clinical Documentation Improvement (CDI) Auditor will facilitate improvement system-wide in the overall quality, completeness, and accuracy of the medical record documentation through extensive audit investigation, education and data analysis. Responsible for identification of patterns, trends, and opportunities for CDI staff to improve accuracy and outcomes. Provides education to CDI team members and physicians, if needed and assists with denial management.

Accurately and efficiently access a wide range of specialty physician billing and Health Information Systems to secure and gather all necessary records to accurately code and bill professional physician and/or physician extender (mid-level) services, while working fully remotely in FL, GA, AZ, TX, AL.

This position is responsible for timely, accurate and comprehensive review of diagnoses and procedure services, verifying charges and assigns valid ICD-10 and CPT codes, as appropriate, to ensure optimal reimbursement and regulatory compliance. Responsibilities include analyzing and coding complex cases and identifying trends/ problems in medical documentation.

Demonstrate proficiency in working claim edits, denials and rejections to support revenue cycle goals with timely and accurate billing. Collaborate with other departments to alert and resolve coding issues, CDM issues and other compliance issues effecting reimbursement. Demonstrates the ability to optimize revenue cycle operations by reviewing, analyzing, and correcting coding and billing errors.

Oversees auditing, education, and training for Physicians, APPs, and the Professional Fee Coding Team. Integrates training and development strategies and programs for Physicians, APPs, and Medical Coders employed by the Region. Develops and implements strategic needs analyses and training plans for the Region.