CDI Auditor – Inpatient Pediatrics (Remote)

Join to apply for the CDI Auditor - Inpatient Pediatrics (Remote) role at Enjoin Enjoin is an industry leader committed to providing comprehensive Clinical Documentation Improvement solutions that are physician-led and quality-driven.

Overview

The CDI Auditor will play a critical role in ensuring the accuracy, completeness, and integrity of clinical documentation in pediatric patient medical records. The CDI Auditor will review medical records in EPIC, validate diagnoses and procedures against clinical evidence, and assess queries for compliance with AHIMA/ACDIS guidelines. By auditing concurrent, retrospective, and continued stay documentation, the CDI Auditor ensures proper workflows, identifies areas for improvement, and partners with physicians, CDSs, and coding teams to strengthen documentation practices.

Qualifications

• RN required. CDIP or CCDS required.
• Peds/NICU RN clinical bedside experience at a stand-alone children’s hospital OR a Level 4 children’s unit at a hospital required.
• Minimum of 3 years of acute inpatient Clinical Documentation Improvement experience in a large tertiary trauma hospital required.
• Experience with EPIC required.
• Excellent observational, analytical thinking and problem-solving skills, including good verbal and written communication required.

Responsibilities

• Promotes a partnership between CDS, medical record coding, and physicians to improve documentation and coding integrity.
• Provide guidance to the physicians, nursing, and ancillary staff on clinical documentation best practices.
• Analyze medical record documentation and other references, such as MAR, Labs, Orders, etc. to clinically validate reportable diagnoses and procedures.
• Identify viable working DRG documentation improvement opportunities and initiate concise and compliant queries.
• Audit concurrent initial, continued stay, and retrospective charts with accurate CDS workflow data entry and scopes consistent with client work standards.
• Query initiation, follow up, escalation, etc. aligned with client scope and work standards.
• Adhere to AHIMA/ACDIS query compliance guidance and all Official ICD10 Coding Guidance.
• Adhere to any client specific diagnosis clinical validity criteria.
• Understand medical terminologies, procedures, and applicable laws to collect and evaluate medical documentation.

Why Enjoin?

• We are Great Place to Work Certified: This certification recognizes employers who create an outstanding employee experience
• Be a valuable member of a dynamic team of physicians, CDI and coding professionals
• Career stability and professional growth opportunities
• Excellent salary and earning potential
• Monthly bonuses based on performance
• Full benefits (medical, vision, dental)
• 401(k) contribution of 3%
• Excellent PTO package plus 8 paid holidays
• Work 100% remote
• Flexible schedule
• Laptop and other necessary equipment provided
• Complimentary annual CEUs
• “White glove” onboarding/training
• Access to advanced educational coding tools / resources
• Employee Wellness and Discount programs
• Referral bonus program for coding and CDI experts

Schedule This is a remote, full-time, 40 hour per week position. General hours of work are Monday through Friday during regular business hours. Eligibility Note Please note: for this position we cannot hire if you live in the following states: Alaska, Alabama, California, Connecticut, District of Columbia, Kentucky, Maryland, Massachusetts, Nevada, New Hampshire, New Jersey, New York, North Dakota, Ohio, Oregon, Pennsylvania, Vermont, or Washington. Equal Opportunity Enjoin is an equal opportunity employer and values diversity in its workforce. We encourage applications from all qualified candidates. For more than 35 years, Enjoin has provided health systems with clinical documentation integrity (CDI) education, infrastructure and process development. Led by nationally renowned physicians with a strong academic background in scientific-based medicine and years of clinical practice coupled with certified coding and clinical documentation credentials, our unique approach addresses today’s quality-driven initiatives uniting documentation and coding across the healthcare continuum. A pioneer of CDI programs, Enjoin continues to be an industry leader and innovator. #J-18808-Ljbffr Salary: USD 72000 - 108000 per year Experience: 3 years required Apply tot his job Apply To this Job