Clinical Documentation Integrity & Claims Auditor

This position is listed on behalf of a partner company, who manages all applications and next steps. Our partner is looking for a Clinical Documentation Integrity & Claims Auditor based in the United States.

• This is a fully remote opportunity supporting clinical documentation integrity, coding accuracy, and claims quality within a healthcare environment.
• The role plays an important part in quality and risk-adjustment initiatives by ensuring diagnostic information is complete, accurate, and appropriately supported by medical records.
• You will conduct concurrent and retrospective chart audits while validating ICD-10-CM coding and identifying opportunities for clarification or correction.
• The position combines clinical expertise, coding knowledge, analytical review, and emerging AI-supported auditing tools.
• You will collaborate with clinical documentation, provider, coding, and operational teams to improve compliant coding practices and claims outcomes.
• The role also provides opportunities to contribute to provider education, process improvement, and the continued development of modern audit workflows.
• The ideal candidate is analytical, detail-oriented, comfortable working independently, and committed to maintaining current knowledge of coding and risk-adjustment standards.