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Salary: USD 58,000 - 90,000 / annual
Devoted Health is seeking a Clinical Documentation Integrity (CDI) & Claims Auditor to join the Practice Operations team, reporting to the Manager of Clinical Documentation Improvement. This role is central to Devoted's Quality & Risk Adjustment strategy and claims cycle processes.
You will ensure the accuracy of diagnostic information and ICD-10 CM coding by performing medical record audits and chart reviews. Your responsibilities include:
• Conducting medical record audits based on organizational priorities, including concurrent CDI workflows and retrospective auditing
• Performing coding validation reviews that may result in addition, deletion, adjustment, or confirmation of diagnoses
• Initiating provider queries to clarify documentation and ensure clinical accuracy
• Evaluating and leveraging AI tools and "Human-in-the-Loop" outputs to support modern auditing processes
• Assisting in creating and communicating provider and vendor education on coding trends and compliant practices
• Collaborating with the CDI Manager to recommend process improvements that enhance coding quality outcomes
• Staying current on ICD-10-CM coding guidelines, AHA Coding Clinic Guidance, and CMS Risk Adjustment guidance
Devoted Health, founded in 2017, is a mission-driven healthcare company focused on improving the health and well-being of older Americans through an integrated care platform that combines advanced data, AI, and world-class clinical services.
REQUIREMENTS:
• Required Certifications: CPC or CRC (AAPC), or CDIP/CCDSR, or CCS (AHIMA)
• Clinical/Coding Background: 3+ years in outpatient CDI OR 5+ years in risk adjustment coding/auditing
• Tech Savvy: Experience with AI tools, Copilots, and Google Suite
• 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
• Bonus: Prior CPT coding experience
