Clinical Documentation Integrity Auditor CDI

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Job ID

93747

Location

Aurora

Position Type

Regular

Regular / Temporary

Regular

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Job Overview

The Clinical Documentation Integrity (CDI) Auditor is responsible for the overall quality, completeness, and accuracy of the medical record documentation through extensive audit review, clinical criteria research, drafting of appeals, and data trending. Internal auditing for the CDI program will ensure compliance, quality, denial trends, and educational opportunities are identified and solved in partnership with CDI leadership. Responsible for the review, appeal, and tracking of DRG denials received through government audits and / or commercial payers. Strong aptitude for quickly troubleshooting and identifying the cause of questionable results within abstracts and reports. Works in association with the CDI staff, clinicians, coders, and all members of the healthcare team to ensure accurate and timely clinical documentation in the medical record.

Additional Information

Department Name : Health Information Management

Job Status : Full time, 40 hours per week

Shift : Day Shift

Fully Remote

Qualifications

• EDUCATION - A ssociate Degree in Nursing .
• EXPERIENCE - Three (3) years of experience to include : one (1) year of experience within Clinical Documentation Integrity in the inpatient acute care setting and one (2) years of experience as a clinical nurse in an inpatient acute care setting.
• EQUIVALENCY - None.
• CERTIFICATION(S) - Certified Documentation Improvement Practitioner (CDIP) or Certified Clinical Documentation Specialist (CCDS) is required.
• LICENSURE - Active Registered Nurse licensure is required.

Responsibilities

POPULATION SPECIFIC CARE

No direct patient care.

ESSENTIAL FUNCTIONS

An employee in this position may be called upon to do any or all of the following essential functions. These examples do not include all of the functions which the employee may be expected to perform.

Other Information

SCOPE AND LEVEL

Performs work with minimal supervisory oversight. Under general supervision, the employee receives assignments and is expected to carry them through to completion with substantial independence. Work is reviewed for adherence to instructions, accuracy, completeness, and conformance to standard practice or precedent. Recurring work clearly covered by guidelines may or may not be reviewed.

Physical Requirements

Ability to Perform Essential Functions of the Job

PHYSICAL REQUIREMENTS

WORK ENVIRONMENT

Salary Information

Pay is dependent on applicant's relevant experience.

Annual Salary Range (Based on 40 hours worked per week) : $82,095.81 to $123,143.72

Benefits Information

Here, you matter. As a Children's Hospital Colorado team member, you will receive a competitive pay and benefits package designed to take care of your needs that includes base pay, incentives, paid time off, medical / dental / vision insurance, company provided life and disability insurance, paid parental leave, 403b employer match (retirement savings), a robust wellness program, and access to professional development tools, including an education benefit to help you advance your career.

As part of our Total Rewards package, Children's Colorado offers an annual employee bonus program that rewards eligible team members based on organizational performance. If organizational goals are met for the year, the bonus is paid out the following April.

Children's Colorado delivers annual base pay increases to eligible team members based on their performance over the previous year.

EEO Statement

It is our intention that all qualified applicants be given equal opportunity and that selection decisions be based on job-related factors. We do not discriminate on the basis of race, color, religion, national origin, sex, age, disability, or any other status protected by law or regulation. Be aware that none of the questions are intended to imply illegal preferences or discrimination based on non-job-related information. The position is expected to stay open until the posted close date. Please submit your application as soon as possible as the posting is subject to close at any time once a sufficient pool of qualified applicants is obtained.

Colorado Residents : In any materials you submit, you may redact or remove age-identifying information such as age, date of birth, or dates of attendance at or graduation from an educational institution. You will not be penalized for redacting or removing this information.