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Registered Nurse - Clinical Documentation Integrity (CDI) Auditor

Csmedicalpro

Registered Nurse – Clinical Documentation Integrity (CDI) Auditor Location: Fort Worth, TX Work Arrangement: Hybrid Remote Assignment: 13-Week Contract Schedule: Monday – Friday | 8:00 AM – 5:00 PM Join CornerStone Medical! CornerStone Medical is seeking an experienced Registered Nurse (RN) – Clinical Documentation Integrity (CDI) Auditor for a 13-week contract opportunity in Fort Worth, Texas. This is an excellent opportunity for an experienced nursing professional with a background in medical record auditing, clinical documentation review, and billing compliance. The ideal candidate will have hands-on clinical experience combined with auditing expertise and a strong understanding of medical and/or behavioral health documentation, ICD-10 and CPT coding, and regulatory compliance. Key Responsibilities Review medical and/or behavioral health claims and clinical documentation as part of investigations involving potential fraud, waste, or abuse. Verify accurate billing and coding of ICD-10 and CPT codes based on supporting medical record documentation. Identify and validate medical record support for global and bundled billing codes. Evaluate clinical documentation to ensure appropriate levels of documentation and compliance with billing and legal requirements. Identify discrepancies, potential billing inaccuracies, and areas of noncompliance. Prepare detailed written audit reports outlining findings and supporting documentation. Present audit findings to the Special Investigations Unit (SIU) Program Manager and Compliance Director. Qualifications & Experience Current Registered Nurse (RN) license required. Minimum of 5 years of combined experience as a clinical caregiver and auditor. Recent experience auditing medical records for documentation accuracy, billing compliance, and regulatory requirements. Previous medical and/or behavioral health record auditing or billing audit experience preferred. Strong understanding of ICD-10 and CPT coding. Excellent written and verbal communication skills. Proficiency in Microsoft Office, particularly Word and Excel. Certified Professional Coder (CPC) certification preferred. Assignment Highlights 13-week contract opportunity. Hybrid remote work arrangement. Consistent Monday–Friday schedule. Daytime hours: 8:00 AM – 5:00 PM. Opportunity to apply your clinical and auditing expertise in healthcare compliance and fraud prevention. #J-18808-Ljbffr Csmedicalpro

Vacancy posted 1 day ago
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