Clinical Documentation Integrity & Claims Auditor

Clinical Documentation Integrity & Claims Auditor at Jobgether scores 20 out of 100 on AI centrality, which makes it a Level 1 role on this board.

Remote (US)midFull-time

AI in this role

Perform clinical documentation integrity and claims auditing using medical records and emerging AI-supported auditing tools.

clinical-documentationicd-10-codingchart-auditingclaims-processinghealthcare-compliance

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.

Prepare for this job

A free preview built only from this posting: what it asks for, what you could be asked in an interview, and how to adjust your resume.

Skills and AI tools this role asks for

Clinical DocumentationIcd 10 CodingChart AuditingClaims ProcessingHealthcare Compliance

Questions you could be asked

Tell me about a project where clinical documentation was part of your work. What did you do?
Tell me about a project where icd 10 coding was part of your work. What did you do?
Tell me about a project where chart auditing was part of your work. What did you do?
Tell me about a project where claims processing was part of your work. What did you do?
Tell me about a project where healthcare compliance was part of your work. What did you do?

Adapt your resume

List these exact terms on your resume: Clinical Documentation, Icd 10 Coding, Chart Auditing, Claims Processing, and Healthcare Compliance. An applicant tracking system matches the wording, not the idea.
Attach one line of real, concrete experience to at least one of them — a tool named with nothing behind it rarely survives a human read.

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