The CDI Auditor is responsible for performing audits on CDIS reviews of inpatient encounters to ensure the Clinical Documentation Integrity Specialists capture all available opportunities to clarify provider documentation and therefore ensuring accurate and complete documentation specificity. The CDI auditor will monitor the CDI Specialistâ��s compliance with Tenetâ��s TRIC method of querying to ensure all queries are compliant with coding requirements in alliance with AHIMA guidelines. The position requires the CDI Auditor to be highly proficient in the proper assignment of ICD-10-CM/PCS codes, to demonstrate a broad and complex clinical knowledge base, and the ability to critically analyze the CDI process, clinical documentation and opportunities for appropriate and complete documentation in the medical record.
Ability to consistently and accurately audit clinical documentation of inpatient encounters
Ability to create clear and concise audit reports and maintain productivity standards
Comprehensive understanding of coding guidelines, AHA Coding Clinics, anatomy, physiology, and appropriate coding/diagnostic references along with the ability to employ these resources to audit findings.
Knowledge of MS-DRG classification and APR-DRG classification and various reimbursement structures
Highly proficient computer and technical skills, along with experience using MS Word, Excel, Tableau, the EMR and Iodine.
Ability to conduct online meetings and report findings
Must be detail oriented and proven ability to work independently in a fast-paced environment
Must demonstrate excellent interpersonal skills
Ability to demonstrate initiative and discipline in time management and assignment completion
Ability to work in a virtual setting under minimal supervision
Proven ability to collaborate with coding leadership to drive overall organization goals for best in class documentation and coding
Five (5) years of Clinical Documentation Integrity experience in an acute care setting
Proven ability to manage a large scope of work in a time intensive and impact-driven setting
A bachelorâ��s degree in clinical or healthcare field required: RN, MBBS, RHIA is required
CCDS, CDIP and/or coding certification required
Prior audit experience at a large scope
A Masterâ��s degree in relevant field strongly preferred.
A certification in a clinical field (CCRN, RN-BC, CPN, CEN, etc.) is strongly preferred
Primary Location: California
Facility: 963-Santa Ana, CA
Other Locations: Alabama,Florida,Georgia,Massachusetts,South Carolina,Tennessee,Texas,Michigan,Arizona
Job Type: Full-time
Shift Type: Days
Employment practices will not be influenced or affected by an applicantâ��s or employeeâ��s race, color, religion, sex (including pregnancy), national origin, age, disability, genetic information, sexual orientation, gender identity or expression, veteran status or any other legally protected status. Tenet will make reasonable accommodations for qualified individuals with disabilities unless doing so would result in an undue hardship.
Internal Number: 2105005605
Tenet Healthcare Corporation (NYSE: THC) is a diversified healthcare services company headquartered in Dallas with 112,000 employees. Through an expansive care network that includes United Surgical Partners International, we operate 65 hospitals and approximately 510 other healthcare facilities, including surgical hospitals, ambulatory surgery centers, urgent care and imaging centers and other care sites and clinics. We also operate Conifer Health Solutions, which provides revenue cycle management and value-based care services to hospitals, health systems, physician practices, employers and other clients. Across the Tenet enterprise, we are united by our mission to deliver quality, compassionate care in the communities we serve.