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CorroHealth · 2 weeks ago

CDI Reconciliation Auditor

United States

Full-time

Onsite

Mid Level

3+ years exp

CorroHealth is dedicated to helping clients exceed their financial health goals through scalable solutions and clinical expertise. The CDI Reconciliation Auditor is responsible for conducting quality reviews and reconciliations of clinical documentation and coding outcomes, ensuring compliance with regulatory and payer requirements.

AnalyticsFinanceFinancial ServicesFinTechHealth Care

Responsibilities

Conduct reconciliations of CDI and coding outcomes to ensure alignment with final DRG assignments

Review discrepancies between CDI specialists and coders, resolving variances to support accurate claim submission

Perform quality audits on Physician Audit reviews to validate the appropriateness of coding and documentation

Ensure clinical documentation meets regulatory standards, payer guidelines, and organizational policies

Identify trends and patterns in documentation and coding errors, providing feedback and education to CDI and coding teams

Collaborate with internal teams to develop and implement process improvements based on audit findings

Provide education and training to CDI and coding staff on reconciliation outcomes and audit findings

Serve as a liaison between CDI specialists, coders, and physicians to resolve documentation and coding queries

Maintain up-to-date knowledge of coding guidelines (ICD-10, CPT, etc.), payer policies, and regulatory requirements

Prepare and present regular reports on reconciliation and audit outcomes, including key metrics and recommendations

Qualification

DRG validationClinical auditingICD-10 codingCertified Clinical Documentation SpecialistCertified Coding SpecialistHealthcare coding systemsAnalytical skillsEHR systems proficiencyProblem-solving skillsCommunication skillsDetail-oriented