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Devoted Health logo
Devoted Health

Our mission: to dramatically improve the health & well-being of older Americans by caring for everyone like family

Clinical Documentation Integrity, Claims Auditor

Medical writerMedical writerFull TimeRemoteSeniorTeam 1,001-5,000Since 2017H1B No SponsorCompany SiteLinkedIn

Location

United States

Posted

17 days ago

Salary

$58K - $90K / year

Seniority

Senior

Bachelor Degree3 yrs expEnglish

Job Description

Clinical Documentation Integrity, Claims Auditor

Devoted Health

• Perform audits based on organizational priorities, including concurrent CDI workflows and retrospective auditing. • Conduct reviews that may lead to the addition, deletion, adjustment, or confirmation of diagnoses. • Initiate queries for documentation clarification to ensure the highest level of clinical accuracy. • Utilize and review AI tools and 'Human-in-the-Loop' outputs to support modern auditing processes. • Assist in creating and communicating provider and vendor education regarding trends and opportunities in compliant coding practices. • Collaborate with the CDI Manager to make recommendations that enhance coding quality goals and outcomes. • Remain current on ICD-10-CM coding guidelines, AHA Coding Clinic Guidance, and CMS Risk Adjustment guidance.

Job Requirements

  • Clinical/Coding Background: 3+ years in outpatient CDI or 5+ years in risk adjustment coding/auditing.
  • Certifications: CPC or CRC (AAPC) or CDIP/CCDSR or CCS (AHIMA).
  • Tech Savvy: Experience with AI Tools, Copilots, and Google Suite.
  • Bonus Points: Prior CPT coding experience is a plus.

Benefits

  • Employer sponsored health, dental and vision plan with low or no premium
  • Generous paid time off
  • $100 monthly mobile or internet stipend
  • Stock options for all employees
  • Bonus eligibility for all roles excluding Director and above; Commission eligibility for Sales roles
  • Parental leave program
  • 401K program
  • And more....

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