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Clinical Documentation Integrity – Claims Auditor
Devoted Health. Report to the Manager, Clinical Documentation Improvement as part of the Practice Operations team .
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in Clinical Documentation Improvement (CDI) with a strong focus on ICD-10-CM coding guidelines, coding validation, and compliance. Proficient in utilizing AI tools for enhancing coding quality and conducting effective provider education.
Highest-signal resume keywords
CPC CertificationICD-10-CM CodingClinical Documentation ImprovementAI Tools UtilizationAnalytical Problem-Solving
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Coding ValidationMedical Record AuditsProvider QueriesCPT CodingRisk Adjustment Coding
Soft Skills
Excellent CommunicationIndependent WorkTask Management
Tools & Technologies
AI ToolsGoogle Suite
Certifications & Qualifications
CPCCRCCDIPCCDSRCCS
Industry Keywords
AHA Coding Clinic GuidanceCMS Risk AdjustmentOutpatient CDICompliant Coding
About the role
Key responsibilities & impact- Report to the Manager, Clinical Documentation Improvement as part of the Practice Operations team
- Perform medical record audits based on organizational priorities, including concurrent CDI workflows and retrospective auditing
- Conduct coding validation reviews that may lead to adding, deleting, adjusting, or confirming diagnoses
- Initiate provider queries for documentation clarification
- Utilize and review AI tools and Human-in-the-Loop outputs
- Assist in creating and communicating provider and vendor education about compliant coding trends and opportunities
- Collaborate with the CDI Manager to improve coding quality goals and outcomes
- Remain current on ICD-10-CM coding guidelines, AHA Coding Clinic Guidance, and CMS Risk Adjustment guidance
- Ensure diagnostic information, coding, and claims submitted on behalf of Devoted Medical are accurate, complete, and compliant
Requirements
What you’ll need- CPC or CRC (AAPC) or CDIP/CCDSR or CCS (AHIMA) certification required
- 3+ years in outpatient CDI or 5+ years in risk adjustment coding/auditing
- Experience with AI Tools, Copilots, and Google Suite
- Prior CPT coding experience is a plus
- Strong analytical and problem-solving skills
- Excellent oral and written communication skills for provider education
- Ability to work independently and manage multiple tasks in a fast-paced startup environment
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