CDI Reconciliation Auditor - San Jose California

Company: VirtualVocations
Location: San Jose, California
Posted On: 02/02/2025

A company is looking for a CDI Reconciliation Auditor responsible for performing quality reviews and reconciliations of clinical documentation and coding outcomes.



Key Responsibilities

Conduct reconciliations of CDI and coding outcomes to ensure alignment with final DRG assignments
Perform quality audits on Physician Audit reviews to validate the appropriateness of coding and documentation
Identify trends and patterns in documentation and coding errors, providing feedback and education to CDI and coding teams


Required Qualifications

Bachelor's degree in Nursing, Health Information Management, or a related field; or equivalent clinical experience
3-5 years of experience in CDI, coding, or clinical auditing roles
Strong background in DRG validation and Physician Audit processes
Certified Coding Specialist (CCS) or equivalent coding certification required
Certified Clinical Documentation Specialist (CCDS) or Clinical Documentation Improvement Practitioner (CDIP) preferred More...

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