Analyst, Clinical Documentation Auditor Full Time

Summary:

Oak Street Health, a CVS Health company focused on Medicare patients, seeks a Clinical Documentation Auditor for a remote, full-time role. The position supports high-quality care by auditing provider notes to improve documentation accuracy and coding practices.

Responsibilities:

• Comprehensively review outpatient provider notes for accuracy and completeness.
• Synthesize coding correction opportunities for ongoing provider education.
• Achieve 90%+ audit results on coding correction accuracy and less than 25% on missed coding correction opportunities.
• Review on average a minimum of 20 provider notes per day.
• Maintain and grow the current knowledge of the Medicare and Commercial Risk Adjustment outpatient/inpatient billing systems/processes.
• Identify trends and training opportunities to support clinical documentation accuracy improvement.
• Champion Coding Corrections standards and drive integration into Canopy tools and ongoing Care Team processes.
• Other duties as assigned.

Requirements:

• At least 3 years of experience in Medicare risk adjustment coding.
• At least 3 years of experience in assigning/auditing ICD-10 CM codes to outpatient records.
• Ability to succeed in a face-paced, ever-changing environment.
• Self-starter with high degree of drive, initiative, and follow through.
• Expert in accurate and specific documentation.
• Strong communication skills.
• A flexible and positive attitude.
• Strong computer skills and basic knowledge of Microsoft Excel.
• Ability to work independently with minimum supervision, excellent reliability, and a positive attitude.
• CRC (“Certified Risk Coder”) credential is required.
• US work authorization.
• “Oakiness” – driven by our mission, exuding positive energy, scrappy, roll-up-your-sleeves attitude.
• RN or LPN certification preferred.

Benefits:

• Competitive benefits.
• Paid vacation/sick time.
• Generous 401K match with immediate vesting.
• Health benefits.