Clinical Documentation Integrity (CDI) Auditor
Cook Children's
- # Clinical Documentation Integrity (CDI) AuditorApply: Fort Worth, TX: Full time: Posted Today: JR-119599**Location:**Medical Center - Fort Worth**Department:**HIM-Clinical Documentation Improvement**Shift:**First Shift (United States of America)**Standard Weekly Hours:**40**Summary:**The Clinical Documentation Integrity Auditor will perform a variety of chart reviews related to documentation accuracy and specificity, coding accuracy & APR DRG assignment compliance. Analyzes and evaluates patient care documentation after coding and before billing and assigns codes as needed, ensures accuracy of Present on Admission status (POA) and DRGs to validate the documentation supports code specificity per compliance requirements. Performs Pre-bill Audit (PBA) reviews, tracks, trends and reports audit results. Provides feedback & education regarding opportunities for documentation improvement to providers and coders. Provides expertise in ICD coding, DRG assignment, documentation guidance and education, and assists in setting goals and priorities for the coding team. Review payor coding denials for appropriate and accurate coding. Review concurrent admissions and create documentation clarification queries requesting providers to provide additional documentation within the record. Functions as the liaison between the Coding staff, Physician Advisors and Providers. Communicates with and educates Physician Advisors and providers regarding areas of documentation improvement. Reports audit results to appropriate individuals, groups and committees on a monthly or as requested basis. Fosters relationships between all disciplines. Maintains current and thorough knowledge and understanding of clinical documentation improvement, Epic systems, coding schemes, APR-DRG groupers, Cooks policies, procedures, regulatory requirements and guidelines for documentation, coding and billing/reimbursement.Education:* Must have an Associates degree in Business or Clinical field (i.e. Nursing, Health Information Management, etc.). Masters Degree in health-related field desirable* Must have a minimum of three (3) years current & continuous acute care hospital inpatient coding required for Coding Professionals.* 1-2 years APR/DRG coding and clinical validation auditing experience in a pediatric setting highly desired. ICD-10-CM training highly preferred.* 2 years acute nursing experience required for RNs. Pediatric ER or ICU nursing experience for RNs preferred.* Certified Clinical Documentation Specialist (CCDS) credential and/or Certified Documentation Improvement Practitioner (CDIP) credential is preferred along with knowledge of ICD-10, and APR-DRGs. Will be required to obtain on or before the third-year hire date.* Demonstrates superior coding expertise and critical thinking skills with the ability to solve problems appropriately using knowledge and current policies/procedures, guidelines and regulations.* Technically competent and fluent knowledge in navigation of electronic medical record applications, coding decision support tools, including encoders, abstracting & billing systems, electronic medical records (used as coding source documents) and other associated computer applications required.* Proficiency in computer assisted coding/CDI tools, automated coding work flow process and management of coded data integrity highly desired. Experience using Microsoft Office applications (excel, word, outlook, power point) required.* Ability to remain focused, work well independently and productively with minimal guidance and without direct supervision.* Must have sharp analytical and critical thinking skills, must be highly detail oriented, have strong organizational skills, writing, interpersonal and communication skills with ability to maintain confidentiality, create positive relationships; energetic, flexible, goal and team oriented.* Strong verbal and written communication skills. Fluent English.* Ability to give presentations. Ability to interact with providers and adapt to different communication styles. Ability to provide excellent customer service routinely in all types of interactions with all individuals.* Demonstrated coding knowledge and proficiency is required with demonstrated ability to easily articulate knowledge of coding guidelines and procedures.* Ability to work independently in a multi-task atmosphere, take initiative, use sound judgement, work with tight deadlines and be flexible, embrace change as this role encompasses a spectrum of highly specialized duties that are only performed by the immediate team members.Certification/Licensure:* Registered Health Information Administrator (RHIA) or Registered Health Information Technologist (RHIT) with Certified Coding Specialist (CCS) required. OR Registered Nurse (RN) with a current, valid, license to practice in Texas with Certified Coding Specialist (CCS) - highly desired.* CDI experience highly desired.* Certified Clinical Documentation Specialist (CCDS) highly desired.* ICD-10-CM/PCS training highly desired.* Certified Clinical Documentation Specialist (CCDS) or Certified Documentation Improvement Practitioner (CDIP) are required to be obtained on or before the third (3) year hire date.
- J-18808-Ljbffr Cook Children's
Vacancy posted 1 day ago
Similar jobs that could be interesting for youBased on the Clinical Documentation Integrity (CDI) Auditor in Fort Worth, TX vacancy
- ...Center - Fort Worth Department: HIM-Clinical Documentation Improvement Shift: First Shift (United... ...Summary: The Clinical Documentation Integrity Auditor will perform a variety of chart reviews... ...in computer assisted coding/CDI tools, automated coding work flow process...SuggestedWork at officeImmediate startFlexible hoursShift workDay shift
- Cook Children's Medical Center in Fort Worth seeks a Clinical Documentation Integrity Auditor to review documentation accuracy and APR-DRG assignments. The... ..., and stay current with ICD-10-CM/PCS guidelines, CDI tools, and hospital policies. #J-18808-Ljbffr cookchildrensSuggested
- Cook Children's seeks a Clinical Documentation Integrity Auditor to review chart documentation for accuracy, support APR-DRG assignments, and ensure POA... ...inpatient coding experience, RN or RHIA/RHIT with CCS, and CDI tool proficiency. Networking with physicians and...Suggested
- Cook Children’s Medical Center seeks a Clinical Documentation Integrity Auditor to review and improve documentation accuracy, coding precision, and APR-DRG alignment. This role verifies POA status and DRG appropriateness, conducts pre-bill audits, and tracks trends for...Suggested
$68.57k - $104.84k
...DRG Quality Control/Clinical AuditorCERIS in Fort Worth, TX is seeking... ...Quality Control/Clinical Auditor. The Diagnostic Related... ...medical records and/or other documentation. This role will determine correct... ..., Commitment, Excellence, Integrity and Teamwork (ACE-IT!).A...SuggestedMinimum wageFull timeLocal areaRemote workFlexible hoursCERIS Health
Fort Worth, TX5 days ago$73.35k - $113.25k
...Description Job Description The Payment Integrity Analyst (Team Lead) assists with... ...work completed by PPI QC analysts and clinical appeal review teams as needed Reviews... ...analytical skills to appropriately review documentation submitted for claim audits Utilize...Minimum wageFull timeWork experience placementWork at officeLocal areaRemote workFlexible hoursCorVel Healthcare Corporation
Fort Worth, TX15 days ago$66.94k - $101.26k
...The Payment Integrity Analyst is responsible for accurately reviewing pre and post pay claim audits... ...professional written communication Ability to use clinical judgement and analytical skills to appropriately review documentation submitted for claim audits Utilize...Minimum wageFull timeWork experience placementWork at officeLocal areaRemote workFlexible hoursCERIS Health
Fort Worth, TX5 days ago- CorVel Corporation is seeking a Payment Integrity Analyst to review pre and post pay claim audits, applying CMS... ...remote position with responsibilities spanning audits, documentation review, and coordination with clinical teams.The role requires licensure (LPN/LVN or RN)...Remote job
- ...accuracy of charge build. Responsible for analyzing, compiling, documenting and reporting on data and exports. Responsible for informing... ...plan and department procedures required. Acts as a Revenue Integrity liaison with various EPIC IT teams handling various modules to...Work at officeWork from homeMonday to FridayShift work
Parkland Health and Hospital System
Fort Worth, TX8 hours ago $120.2k - $140k
...collaborative environment? As an experienced Clinical Data AMS Senior Consultant you will... ..., listings/reports configuration, and integration touchpoints with upstream/downstream... ...PQ) activities, and maintain validation documentation (URS, FRS, test scripts, traceability matrices...Permanent employmentLocal areaRemote workVisa sponsorshipDeloitte
Fort Worth, TX2 days ago$80k - $139k
...to hire a Senior Analyst - Post Merger Integration for our Deal Services practice. This role... ...reconciliations, and supporting documentation.Perform detailed data analysis and financial... ...client accounting personnel, external auditors, and other advisors to ensure timely completion...Full timeCliftonLarsonAllen
Fort Worth, TX1 day ago- ...departments, vendors, or contractors. • Coordinate testing with contract laboratories and vendors. • Write technical reports or documentation such as deviation reports, testing protocols, and trend analyses. • Write or revise standard quality control operating procedures...Contract workFor contractors
Mindlance
Fort Worth, TX3 days ago - ...are the only U.S. company with a fully integrated rare earth supply chain—from mining and... ...Position Overview: The Senior Internal Auditor supports the execution of MP’s risk-based... ...potential risk indicators. Identify, document, and communicate audit observations and...Permanent employment
MP Materials Corp.
Fort Worth, TX28 days ago - ...Description Position Title: Internal Auditor FLSA Status: Exempt (17D)... ...assisting the external audit team with annual integrated audit. Responsibilities include... ...understanding of workflow and technologies used. Documents business processes and identifies and...Full timeFor contractorsMonday to Friday
Southside Bank
Fort Worth, TX5 days ago - ...effectiveness. Support the review and preparation of legal documents and financial models. Assist with onboarding new client accounts... ...data management activities and help ensure the accuracy and integrity of financial information. Collaborate with management on...Work at office
Robert Half
Fort Worth, TX3 days ago - ...supporting the operational, financial, and clinical performance outcomes of the network.... ...Job Title RN Team Lead - Med Surg-T3-Integrated Specialty Unit-Day Requisition Number... ...action, reports, audits, surveys, and documentation in medical records, employee records, and...Hourly payFull timeShift workDay shift
- ...managing stakeholder relationships, analyzing large data sets, documenting audit results, and driving remediation efforts. Experience... ...stakeholders, application teams, cybersecurity teams, and external auditors to support IT SOX compliance, access governance, audit...Contract work
- ...travel Job Summary: The Systems Integration Engineer - Lead is an information technology... ...the organization’s current and future clinical and business operations by developing,... ...; improving physical design; and documenting data policy, standards, and procedures....Full time
Resourcing HQ
Fort Worth, TXmore than 2 months ago $19.21 - $28.73 per hour
...corrective actions Prepare QA reports and documentation Collaborate with stakeholders to... ...to our valued partners. Through our clinical expertise and cost containment solutions... ...Accountability, Commitment, Excellence, Integrity and Teamwork (ACE-IT!). A...Hourly payMinimum wageFull timeWork at officeLocal areaRemote workFlexible hoursCorVel Healthcare Corporation
Fort Worth, TX10 days ago$27.35 - $37.61 per hour
Use coding skills to review clinical documentation to accurately code for anesthesia services. Retrieve information from hospital EMR systems to resolve coding questions to support offshore vendors. To work daily tasks/edits in billing system. PRIMARY RESPONSIBILITIES...Remote jobHourly payFlexible hours- ...inform future underwriting decisions, ensuring that the carrier appropriately prices risk. The Role The Auditor should be prepared to review documents submitted for a potential reopen and/or perform simple audits internally. This role may also provide data entry...Work at officeRemote work
Ategrity Specialty Insurance Company
Fort Worth, TX2 days ago $20 per hour
...join us. Work with us. Grow with us. The core responsibilities of this role include: Auditing, document control and retention, investigations Position: First Shift Auditor Shift: 7:00am to 3:30pm, Monday-Friday Pay: $20.00 per hour In addition to the general...Hourly payMonday to FridayShift workDay shiftDPDHL
Fort Worth, TX1 day ago- ...Auditor Job Duties: Ensures compliance with established internal control procedures by examining records, reports, operating practices, and documentation. Verifies assets and liabilities by comparing items to documentation. Completes audit workpapers by documenting...Local area
TradeJobsWorkforce
Fort Worth, TX3 days ago - ...the financial accounting platform, including configuration, integrations, and system performance Map, refine, and enhance financial data... ...Tier 3 support for financial applications and manage documentation, access, and training What We’re Looking For Required Bachelor...Full timeLocal area
$45.31 - $67.01 per hour
...Job Description: The Nurse Clinical Leader provides leadership and clinical expertise... ...competency, and patient experience. Integrates legal and ethical standards into... ...licensure, provides accurate & timely documentation, and understands legal implications of...Hourly payRemote workShift work- ...application solution expertise to effectively integrate and implement technology solutions into... ..., problem resolution and problem documentation and communication.· Provide support &... ...Comprehensive health insurance· On-site clinic, pharmacy, physical therapy, and licensed...
Textron Systems
Fort Worth, TX1 day ago - VitalCaring seeks a Clinical Care Manager (RN) to lead coordination of home health, guide clinical decisions, and ensure patients receive... ...physicians, caregivers, and intake teams, manage orders and documentation in the EMR, conduct assessments, supervise care plans, and...Full time
- ...Medical Office Front Desk Lead - Heart & Vascular Specialists Clinic - Full-Time, Days Bring your passion to Texas Health so we are... ...denials and coding questions. Coordinates copies of medical documentation with physician charges to support billing to third-party payers...Full timeWork at officeMonday to Friday
- ...and alignment with business partners. Committed to ethics and integrity, this team plays a vital role in maintaining BNSF's high standards... ...Internal AuditorCertified Information Systems Auditor Experience in implementation of internal control processes and...Full timeH1bWork at officeRemote workRelocation1 day per week
BNSF Railway
Fort Worth, TX4 days ago - ...Change Controls, for related work. Exhibit detail-oriented documentation skills to ensure Right-First-Time testing. Identify and... ...Strong computer literacy with exceptional attention to detail, including documentation accuracy, formatting, and data integrity....Local area
Dechra Veterinary Products, LLC
Fort Worth, TX4 days ago
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Clinical Documentation Integrity (CDI) Auditor. Be the first to apply!
Related searches
- medical claims auditor Fort Worth, TX
- sales auditor Fort Worth, TX
- auditor Fort Worth, TX
- energy auditor Fort Worth, TX
- lease auditor Fort Worth, TX
- compliance auditor Fort Worth, TX
- data auditor Fort Worth, TX
- safety auditor Fort Worth, TX
- medical records auditor Fort Worth, TX
- coding auditor Fort Worth, TX