Clinical Documentation Integrity, Claims Auditor

Devoted Health

Clinical Documentation Integrity Auditor ensuring accuracy of diagnostic information and coding. Performing audits and chart reviews for compliance in healthcare claims processes.

Posted 6/25/2026full-timeRemote • 🇺🇸 United StatesMid-LevelSenior💰 $58,000 - $90,000 per yearWebsite

About the role

Key responsibilities & impact

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.

Requirements

What you’ll need

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

Comp & perks

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....

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills & Tools

ICD-10-CM codingCPT codingrisk adjustment codingauditingclinical documentation improvement (CDI)documentation clarificationcoding qualitycompliant coding practicesconcurrent CDI workflowsretrospective auditing

Soft Skills

collaborationcommunicationeducationrecommendation makingtrend analysis

Certifications

CPCCRCCDIPCCDSRCCS