Clinical Documentation Integrity (CDI) – Audit & Education

Details

• Department: Administration
• Schedule: Full Time, Days
• Location: Remote

Benefits

Paid time off (PTO)
Various health insurance options & wellness plans
Retirement benefits including employer match plans
Long-term & short-term disability
Employee assistance programs (EAP)
Parental leave & adoption assistance
Tuition reimbursement
Ways to give back to your communityBenefit options and eligibility vary by position. Compensation varies based on factors including, but not limited to, experience, skills, education, performance and salary range at the time of the offer.ResponsibilitiesThe Clinical Documentation Integrety (CDI) Audit/Educator plays a dual role in promoting excellence across the Clinical Documentation Integrity program. As an auditor, this position is responsible for assessing the accuracy, consistency, and compliance of clinical documentation reviews performed by front-line CDSs. As an educator, the role supports the professional development of the CDI team and provides provider-facing education to improve clinical documentation practices. This position serves as a subject matter expert in documentation standards, coding guidelines, regulatory compliance, and clinical best practices.Key Responsibilities:Audit Functions:

• Perform routine and ad hoc audits of CDI queries, documentation reviews, and EHR entries for compliance with internal standards, industry guidelines, and regulatory requirements.
• Evaluate query appropriateness, clinical evidence, and alignment with coding rules (ICD-10-CM/PCS, UHDDS, CMS).
• Identify trends, variances, and opportunities for improvement in CDI team performance.
• Maintain internal audit tools, track performance metrics, and present findings to leadership on a regular basis.
• Collaborate with coding and compliance teams to align audit criteria and resolve discrepancies.

Education Functions:

• Develop and deliver comprehensive CDI education programs, including onboarding, continuing education, and skills refreshers for CDSs.
• Provide one-on-one coaching for new or developing team members, based on audit findings or performance trends.
• Create and maintain educational materials, tip sheets, and query templates in accordance with evolving CDI best practices.
• Offer targeted documentation education to providers through presentations, individual feedback, and query response coaching.
• Support rollout of new coding or documentation guidance, EHR tools, and CDI initiatives across the enterprise.
• Participate in national or regional CDI education forums to maintain subject matter expertise and incorporate best practices.
• Provide just-in-time feedback to providers and support educational initiatives based on current trends or gaps.

Requirements

Licensure / Certification / Registration:Required Credential(s):

• Clinical Documentation Prof. credentialed from the Association of Clinical Documentation Improvement Specialists obtained prior to hire date or job transfer date.

Education:

• High School diploma equivalency with 2 years of cumulative experience OR Associate’s

degree/Bachelor’s degree OR 4 years of applicable cumulative job specific experience required.Additional Preferences

• Expert understanding of CDI best practices, DRG methodologies (MS-DRG and APR-DRG), and coding principles.
• Strong knowledge of SOI/ROM, MCC/CC capture, risk adjustment, quality indicators (PSI, HAC, mortality), and CMS compliance.

Demonstrated ability to provide constructive feedback in a supportive, professional manner. * Proven ability to develop engaging education content tailored to diverse audiences (clinical, coding, administrative).

• Exceptional written and verbal communication skills.
• Proficiency with audit tools, EHR systems (e.g., Epic), and CDI software platforms (e.g., Iodine, 3M, Nuance).
• Analytical, detail-oriented, and solution-focused, with excellent organizational and time management skills.

#CDI25Why Join Our TeamAscension associates are key to our commitment of transforming healthcare and providing care to all, especially those most in need. Join us and help us drive impact through reimagining how we can deliver a people-centered healthcare experience and creating the solutions to do it. Explore career opportunities across our ministry locations and within our corporate headquarters.Ascension is a leading non-profit, faith-based national health system made up of over 134,000 associates and 2,600 sites of care, including more than 140 hospitals and 40 senior living communities in 19 states.Our Mission, Vision and Values encompass everything we do at Ascension. Every associate is empowered to give back, volunteer and make a positive impact in their community. Ascension careers are more than jobs; they are opportunities to enhance your life and the lives of the people around you.Equal Employment Opportunity EmployerAscension provides Equal Employment Opportunities (EEO) to all associates and applicants for employment without regard to race, color, religion, sex/gender, sexual orientation, gender identity or expression, pregnancy, childbirth, and related medical conditions, lactation, breastfeeding, national origin, citizenship, age, disability, genetic information, veteran status, marital status, all as defined by applicable law, and any other legally protected status or characteristic in accordance with applicable federal, state and local laws.For further information, view the poster or poster.As a military friendly organization, Ascension promotes career flexibility and offers many benefits to help support the well-being of our military families, spouses, veterans and reservists. Our associates are empowered to apply their military experience and unique perspective to their civilian career with Ascension.Please note that Ascension will make an offer of employment only to individuals who have applied for a position using our official application. Be on alert for possible fraudulent offers of employment. Ascension will not solicit money or banking information from applicants.E-Verify StatementThis employer participates in the Electronic Employment Verification Program. Please click the E-Verify link below for more information.