Clinical Documentation Auditor – Educator

Memorial Hermann Health System

Clinical Documentation Auditor/Educator enhancing medical record quality at Memorial Hermann. Facilitating audits, education, and data analysis for improved documentation practices.

Posted 6/11/2026full-timeRemote • Texas • 🇺🇸 United StatesMid-LevelSeniorWebsite

About the role

Key responsibilities & impact

Facilitate improvement system-wide in the overall quality, completeness, and accuracy of the medical record documentation through extensive audit investigation, education and data analysis
Responsible for identification of patterns, trends, and opportunities for the entire CDI team, at all acute care facilities, to improve accuracy and outcomes
Responsible for assisting with large retrospective audits, at the request of hospital clients system-wide, and for educating physicians, if needed
Audits case reviews and queries of Clinical Documentation Specialists (CDIS) to ensure quality and compliance, using audit tools developed
Tracks, trends, and reports audit findings for each Clinical Documentation Specialist (CDIS), Hospital Region, and System-wide to Director/management team
Identifies knowledge gaps and provides clear explanations and interpretations on missing, unclear, conflicting, or non-compliant information captured by the CDIS
Researches, investigates and remains up to date on both clinical and coding guidelines in quarterly Coding Clinics as they relate to physician documentation improvement needed, in an ICD-10 coding environment
Assists in overall quality, timeliness and completeness of the quality health record to ensure appropriate data, provider communication, and quality outcomes
Serves as a resource for appropriate clinical documentation
Develops presentation material and provides training and education to physicians and CDIS staff as needed in an effort to strengthen documentation practices and ensure accurate coding that reflects the severity of illness (SOI) and risk of mortality (ROM) of patients they serve
Responsible for using audit tools to conduct clinical quality audits
Develops and updates policies and procedures around the CDIS audit function; and refines audit tools as needed in collaboration with Director/management team
Collaborates with leadership to conduct focused post-discharge documentation and coding audits as requested by hospital clients system-wide
Ensures safe care to patients, staff and visitors; adheres to all Memorial Hermann policies, procedures, and standards within budgetary specifications including time management, supply management, productivity and quality of service
Promotes individual professional growth and development by meeting requirements for mandatory/continuing education and skills competency; supports department-based goals which contribute to the success of the organization; serves as preceptor, mentor and resource to less experienced staff
Demonstrates commitment to caring for every member of our community by creating compassionate and personalized experiences
Models Memorial Hermann’s service standards by providing safe, caring, personalized and efficient experiences to patients and colleagues

Requirements

What you’ll need

Bachelor's of Nursing, required
Master’s Degree in Nursing or Management preferred
Current State of Texas license or temporary/compact license to practice professional nursing
One of the following is required: Certified Clinical Documentation Specialist (CCDS) from the Association of Clinical Documentation Improvement Specialists
Certified Clinical Documentation Integrity Professional (CDIP) from the American Health Information Management Association (AHIMA)
Certified Coding Specialist (CCS) from the American Health Information Management Association (AHIMA)
Three (3) years of Clinical Documentation Integrity (CDI) experience required
Approved AHIMA ICD-10-CM/PCS Trainer preferred
Previous CDIS auditing and education experience and/or CDIS supervisory/management background preferred
Strong computer proficiency including working knowledge of MS Office- Word, Excel and Outlook and 3M Coding and Reimbursement software; experience with Epic EMR preferred
Excellent communication, analytical and problem solving skills are essential
Strong organizational skills and must be detail oriented
Highly analytical with strong risk assessment, impact analysis and problem solving skills
Highly self-motivated, yet demonstrate ability to be a team player and take direction
Flexible and able to multi-task and prioritize work load on a daily basis, performing concurrent chart reviews as needed

Benefits

Comp & perks

Exceptional experiences for every member of our community

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills & Tools

Clinical Documentation Integrity (CDI)ICD-10 codingaudit investigationdata analysisclinical quality auditspresentation developmentcoding guidelinesdocumentation improvementrisk assessmentimpact analysis

Soft Skills

communication skillsanalytical skillsproblem solvingorganizational skillsdetail orientedself-motivatedteam playerflexibilitymulti-taskingtime management

Certifications

Bachelor's of NursingMaster’s Degree in Nursing or ManagementCertified Clinical Documentation Specialist (CCDS)Certified Clinical Documentation Integrity Professional (CDIP)Certified Coding Specialist (CCS)AHIMA ICD-10-CM/PCS Trainer