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.

Employment type
Full-time

Work arrangement
Yes