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Clinical Documentation Integrity Auditor - Job Opportunity at Tenet Healthcare/USPI

Dallas, United States
Full-time
Senior
Posted: April 20, 2025
Remote
USD 81,120 - 129,792 per year

Benefits

Comprehensive medical insurance with HSA option
Dental and vision coverage
401(k) with generous 6% employer match
Life and AD&D insurance
Flexible spending accounts for healthcare and dependents
Generous PTO package including 10 paid holidays
Employee assistance program
Enhanced voluntary benefits including pet insurance and legal coverage
Business travel insurance
Work-life balance support programs

Key Responsibilities

Lead quality assurance audits of clinical documentation reviews
Evaluate accuracy and completeness of ICD-10-CM/PCS code assignments
Provide expert guidance on documentation improvement opportunities
Generate detailed audit reports and maintain quality metrics
Collaborate with coding leadership on organizational documentation strategies
Ensure compliance with coding guidelines and regulatory requirements
Drive documentation excellence through process improvement initiatives

Requirements

Education

Bachelor's degree in clinical or healthcare field (RN, MBBS, RHIA)

Experience

Five (5) years of Clinical Documentation Integrity experience in acute care setting

Required Skills

Clinical documentation review expertise ICD-10-CM/PCS coding proficiency MS-DRG and APR-DRG classification knowledge Advanced computer skills including MS Office and EMR systems Strong analytical and problem-solving abilities Exceptional attention to detail Time management and organizational skills Virtual collaboration capabilities Independent work ethic

Certifications

CCDS, CDIP and/or coding certification required Clinical field certification preferred (CCRN, RN-BC, CPN, CEN)
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Sauge AI Market Intelligence

Industry Trends

Healthcare organizations are increasingly prioritizing documentation accuracy due to value-based care initiatives and regulatory scrutiny Remote CDI positions are becoming standard as healthcare systems adopt distributed workforce models Integration of AI and machine learning tools in documentation review processes is creating new skill requirements Growing emphasis on quality metrics and risk adjustment is elevating the strategic importance of CDI roles

Salary Evaluation

The offered salary range is competitive for senior CDI positions, with the upper range reflecting specialized certifications and leadership capabilities. Market rates typically range from $75,000 to $135,000 based on experience and location.

Role Significance

Typically works within a specialized team of 5-10 CDI professionals, often reporting to Quality or Revenue Cycle leadership
Senior-level position with significant autonomy and influence on organizational quality metrics and revenue integrity

Key Projects

Implementation of documentation improvement initiatives Quality assurance program development Clinical documentation training and education Revenue cycle optimization through improved documentation practices

Success Factors

Deep understanding of clinical processes and medical terminology Ability to influence and educate clinical staff Strong analytical skills with attention to regulatory compliance Excellent virtual collaboration capabilities Proactive problem-solving approach

Market Demand

High demand with steady growth projected due to increasing regulatory requirements and focus on healthcare documentation quality

Important Skills

Critical Skills

Clinical documentation expertise is fundamental for ensuring accurate coding and optimal reimbursement Virtual collaboration skills are essential for remote work effectiveness Technical proficiency with healthcare IT systems is crucial for modern documentation review

Beneficial Skills

Project management capabilities for process improvement initiatives Teaching and mentoring skills for peer education Knowledge of healthcare analytics and quality metrics Understanding of value-based care models

Unique Aspects

Remote work opportunity in a traditionally on-site role
Comprehensive benefits package exceeding industry standards
Strong emphasis on professional development and certification
Clear career advancement pathways within a large healthcare system

Career Growth

Typical progression to management roles within 2-3 years, director-level positions in 4-5 years with demonstrated leadership

Potential Next Roles

CDI Program Manager Revenue Cycle Director Clinical Documentation Program Director Quality Improvement Executive

Company Overview

Tenet Healthcare/USPI

Tenet Healthcare is a major player in the US healthcare industry, operating a large network of hospitals and outpatient facilities

Among the largest healthcare services providers in the US, known for comprehensive medical services and strong operational infrastructure
Significant national footprint with facilities across multiple states, offering stability and internal mobility opportunities
Professional environment with emphasis on quality and compliance, supporting work-life balance through remote work options
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