CDI Auditor Position Available In Miami-Dade, Florida

CDI Auditor Clinica Las Mercedes Virginia Gardens, FL 33166

Job Title:

CDI (Clinical Documentation Improvement) Auditor•

Outpatient Department:

Quality Assurance Department Reports To:

CDI (Clinical Documentation Improvement)

Supervisor Job Type:

Full-Time•

Work Setting:

Outpatient Position Summary:

The CDI (Clinical Documentation Improvement) Auditor

• Outpatient is responsible for conducting comprehensive reviews of outpatient clinical documentation to ensure accuracy, completeness, and compliance with regulatory standards and organizational policies.

This role supports the accurate reporting of diagnoses, risk adjustment factors, and overall documentation quality by auditing provider documentation, CDI (Clinical Documentation Improvement) queries, and coder assignments.

Essential Duties & Responsibilities:

• Perform documentation audits to assess accuracy and completeness of clinical data in outpatient records.
• Evaluate provider notes and coder entries for compliance with

CMS, AHIMA, ACDI

(Clinical Documentation Improvement), and AAPC outpatient documentation standards.

• Review and validate the appropriateness of CDI (Clinical Documentation Improvement) queries and corresponding provider responses.
• Identify trends in documentation deficiencies and develop feedback reports for education and process improvement.
• Collaborate with CDI (Clinical Documentation Improvement) staff, coding teams, and providers to ensure clear, specific, and supportable documentation.
• Ensure captured diagnoses are supported by clinical documentation and meet medical necessity, ICD-10-CM coding guidelines, and risk adjustment model requirements (e.g., HCC, V24/V28).
• Prepare detailed audit findings and present summaries to leadership.
• Assist with internal quality improvement initiatives and training efforts based on audit results.

Required Qualifications:

• Associate or bachelor’s degree
• Minimum 3 years of experience in coding, clinical documentation improvement, or healthcare auditing in an outpatient setting.

• Certification Required:

  CPC (AAPC)

• Required CRC (AAPC)
• Required CDEO (AAPC)
• Required, or CPMA (AAPC)
• Acceptable alternative to

CDEO Preferred Skills and Competencies:

• Strong understanding of

ICD-10-CM, CPT, HCC

coding, and MEAT documentation principles.

• Familiarity with CMS risk adjustment models (V24/V28).
• Knowledge of outpatient query guidelines and best practices.
• Proficiency with EHR systems and auditing tools.
• Excellent attention to detail, analytical ability, and communication skills.
• Ability to work independently and manage multiple audit assignments.

Job Type:

Full-time Pay:

From $30.00 per hour

Benefits:

401(k) Dental insurance Health insurance Paid time off Vision insurance

Schedule:

Monday to

Friday Work Location:

In person