Clinical Documentation Integrity Coding Auditor

Who You Are

You’re a collaborative professional, driven by the potential to make a meaningful impact in healthcare. The challenges of healthcare don’t deter you—instead, you see them as opportunities to find innovative solutions that benefit the partners, people, and communities we serve. Honest Health’s commitment to purpose, innovation, communities, and kindness resonates with you, inspiring you to bring commitment, creativity, and compassion into your work. You’re ready to join a team focused on reimagining primary care for a healthier future that benefits all.

Does this sound like you? If so, we should talk.

Who We Are

At Honest Health, we believe in purpose and partnership to lead the transformation in primary care. Our team of healthcare experts and clinicians collaborates with a range of stakeholders—from health systems, physician organizations, and payers to providers, practices, and patients — to deliver innovative solutions that elevate care, control costs, and support long-term health. Guided by our core values, we’re creating a value-driven model that creates lasting benefits for everyone, now and into the future.

For us, that's just an Honest day’s work.

Your Role

​​As a Clinical Documentation Integrity Coding Auditor, you will be responsible for conducting comprehensive audits of clinical documentation and medical coding to ensure adherence to coding guidelines, regulations, and industry standards. You will analyze medical records, physician documentation, and coding assignments to identify discrepancies and coding errors that may impact reimbursement and compliance. The Coding Documentation Integrity Coding Auditor will collaborate with coding professionals, CDI specialists, and healthcare providers to clarify documentation queries and improve documentation quality and specificity. You will play a crucial role in educating and training staff on coding guidelines, providing feedback for improvement, and participating in quality initiatives to enhance coding accuracy, compliance, and revenue integrity. Ultimately, your expertise and attention to detail contribute to optimal reimbursement, compliance with regulatory standards, and improved overall documentation practices.​

 Primary Functions of the CDI Coding Auditor Include:

• Conduct comprehensive audits of clinical documentation and medical coding to ensure compliance with coding guidelines, regulations, and industry standards.
• Analyze clinical documentation to identify discrepancies, coding errors, and documentation gaps that may impact coding accuracy, reimbursement, and compliance.
• Collaborate with CDI department and healthcare providers to clarify documentation queries, improve documentation quality, and enhance coding specificity.
• Provide education and training to physicians, clinicians, and coding staff on proper documentation practices, coding guidelines, and regulatory requirements.
• Prepare detailed audit reports that include findings, recommendations, and action plans. 
• Present audit results to management, coding teams, and other necessary parties highlighting areas of concern and opportunities for improvement.
• Communicate coding updates, regulatory changes, and compliance requirements to coding staff and healthcare providers.
• Perform other related responsibilities as assigned.

How You Qualify

You reviewed the Who You Are section of this job posting and immediately felt the need to read on.  This makes you a match for our innovative culture. You accept things change quickly in a startup environment and are willing to pivot quickly on priorities. 

• A high school diploma or equivalent is required. A degree in health information management (HIM), medical coding, or a related field is preferred
• Must hold a Certified Coding Specialist (CCS), Certified Coding Specialist-Physician-Based (CCS-P), Certified Professional Coder (CPC), Certified Professional Medical Auditor (CPMA), or Certified Risk Coder (CRC) credential
• 3+ years of coding experience and Medicare Advantage Risk Adjustment in outpatient healthcare setting
• Prior experience in clinical documentation improvement (CDI) is highly desirable; familiarity with CDI processes, documentation integrity, and clinical documentation improvement programs is preferred
• Extensive knowledge of medical coding systems and guidelines, including ICD-10-CM, CPT, and HCPCS Level II coding
• Experience working with clinical documentation improvement (CDI) programs and familiarity with CDI best practices
• Solid understanding of healthcare reimbursement methodol