CDI Auditor

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

• CCDS or CDIP certification required
• RN preferred but not required
• A minimum of 3 years’ CDI experience
• The ability to communicate with physicians and hospital staff in a collaborative manner to promote appropriate clinical documentation and quality improvement is a must