Clinical Documentation Integrity & Claims Auditor

Devoted Health • Remote, US • published 2026-09-22 04:42:21.984222

Description

**Job Description** ***A bit about this role:*** The Clinical Documentation Integrity (CDI) \& Claims Auditor will report to the manager, Clinical Documentation Improvement as part of the Practice Operations team. The CDI And Claims Auditor is a key part of Devoted’s Quality \& Risk Adjustment strategy and claims cycle processes. This position ensures the accuracy of diagnostic information and coding (ICD\-10 CM) by performing audits and medical chart reviews. Additionally, this role ensures that claims submitted on behalf of Devoted Medical are accurate, complete, and compliant with ICD\-10 CM guidelines, internal protocols, and CMS guidance. ***Responsibilities*****:** * Medical Record Audits: Perform audits based on organizational priorities, including concurrent CDI workflows and retrospective auditing. * Coding Validation: Conduct reviews that may lead to the addition, deletion, adjustment, or confirmation of diagnoses. * Provider Queries: Initiate queries for documentation clarification to ensure the highest level of clinical accuracy. * Innovation: Utilize and review AI tools and "Human\-in\-the\-Loop" outputs to support modern auditing processes. * Education \& Trends: Assi...

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