Clinical Documentation Integrity & Claims Auditor

📋 Description

• Perform medical record audits based on organizational priorities, including concurrent Clinical
• Review clinical documentation and validate diagnostic information and ICD-10-CM coding for
• Identify diagnoses that should be added, deleted, adjusted, or confirmed based on supporting
• Initiate appropriate provider queries when additional clarification is needed to establish the
• Review and utilize AI-assisted auditing tools and Human-in-the-Loop outputs as part of evolving
• Support the identification of coding trends, documentation gaps, and improvement opportunities.

🎯 Requirements

• Hold one of the following professional certifications: CPC or CRC through AAPC; CDIP or CCDS-R; or
• Have at least 3 years of outpatient Clinical Documentation Integrity experience or 5 years of
• Demonstrate strong knowledge of clinical documentation, medical record review, ICD-10-CM coding
• Understand CMS risk-adjustment guidance and applicable coding compliance requirements.
• Be comfortable working with AI tools, Copilots, and technology-supported auditing workflows.
• Have experience with Google Workspace or similar productivity and collaboration tools.

🎁 Benefits

• 100% remote opportunity within the United States.
• Base salary range of $58,000–$90,000 per year, with the actual offer based on qualifications
• Employer-sponsored health, dental, and vision insurance, with low- or no-premium options.
• Generous paid time off.
• $100 monthly mobile or internet stipend.
• Stock options for all eligible employees.