Clinical Documentation Integrity Coding Auditor

Who You Are

You’re a collaborative professional, driven by the potential to make a meaningful impact in healthcare. The challenges of healthcare don’t deter you—instead, you see them as opportunities to find innovative solutions that benefit the partners, people, and communities we serve. Honest Health’s commitment to purpose, innovation, communities, and kindness resonates with you, inspiring you to bring commitment, creativity, and compassion into your work. You’re ready to join a team focused on reimagining primary care for a healthier future that benefits all.

Does this sound like you?If so, we should talk.

Who We Are

At Honest Health, we believe in purpose and partnership to lead the transformation in primary care. Our team of healthcare experts and clinicians collaborates with a range of stakeholders—from health systems, physician organizations, and payers to providers, practices, and patients — to deliver innovative solutions that elevate care, control costs, and support long-term health. Guided by our core values, we’re creating a value-driven model that creates lasting benefits for everyone, now and into the future.

For us, that's just an Honest day’s work.

Your Role

As a Clinical Documentation Integrity Coding Auditor, you will be responsible for conducting comprehensive audits of clinical documentation and medical coding to ensure adherence to coding guidelines, regulations, and industry standards. You will analyze medical records, physician documentation, and coding assignments to identify discrepancies and coding errors that may impact reimbursement and compliance. The Coding Documentation Integrity Coding Auditor will collaborate with coding professionals, CDI specialists, and healthcare providers to clarify documentation queries and improve documentation quality and specificity. You will play a crucial role in educating and training staff on coding guidelines, providing feedback for improvement, and participating in quality initiatives to enhance coding accuracy, compliance, and revenue integrity. Ultimately, your expertise and attention to detail contribute to optimal reimbursement, compliance with regulatory standards, and improved overall documentation practices.

Primary Functions of the CDI Coding Auditor Include:

• Conduct comprehensive audits of clinical documentation and medical coding to ensure compliance with coding guidelines, regulations, and industry standards.
• Analyze clinical documentation to identify discrepancies, coding errors, and documentation gaps that may impact coding accuracy, reimbursement, and compliance.
• Collaborate with CDI department and healthcare providers to clarify documentation queries, improve documentation quality, and enhance coding specificity.
• Provide education and training to physicians, clinicians, and coding staff on proper documentation practices, coding guidelines, and regulatory requirements.
• Prepare detailed audit reports that include findings, recommendations, and action plans.
• Present audit results to management, coding teams, and other necessary parties highlighting areas of concern and opportunities for improvement.
• Communicate coding updates, regulatory changes, and compliance requirements to coding staff and healthcare providers.
• Perform other related responsibilities as assigned.

How You Qualify

You reviewed the Who You Are section of this job posting and immediately felt the need to read on. This makes you a match for our innovative culture. You accept things change quickly in a startup environment and are willing to pivot quickly on priorities.

• A high school diploma or equivalent is required. A degree in health information management (HIM), medical coding, or a related field is preferred
• Must hold a Certified Coding Specialist (CCS), Certified Coding Specialist-Physician-Based (CCS-P), Certified Professional Coder (CPC), Certified Professional Medical Auditor (CPMA), or Certified Risk Coder (CRC) credential
• 3+ years of coding experience and Medicare Advantage Risk Adjustment in outpatient healthcare setting
• Prior experience in clinical documentation improvement (CDI) is highly desirable; familiarity with CDI processes, documentation integrity, and clinical documentation improvement programs is preferred
• Extensive knowledge of medical coding systems and guidelines, including ICD-10-CM, CPT, and HCPCS Level II coding
• Experience working with clinical documentation improvement (CDI) programs and familiarity with CDI best practices
• Solid understanding of healthcare reimbursement methodologies and regulatory compliance requirements
• Strong analytical and critical thinking skills, with the ability to identify patterns, trends, and areas for improvement
• Excellent communication and interpersonal skills to collaborate effectively with healthcare professionals and coding staff
• Proficient in using electronic health record (EHR) systems, coding software, and other healthcare technology platforms
• Proficient computer skills
• Excellent communication skills, both verbal and written
• Attention to detail and accuracy, with a commitment to maintaining high standards of documentation integrity
• Strong organizational and time management skills to prioritize tasks and meet deadlines

The base pay range for this role is $31.10 - $34.95. Compensation takes into account several factors including but not limited to a candidate’s experience, education, skills, licensure and certifications, and organizational needs. Base pay is just one piece of the total rewards program offered by Honest. Eligible roles also qualify for short-term incentives and a comprehensive benefits package.

How You are Supported

Full time team members may be eligible for:

Competitive Compensation

• Attractive base salary with performance-based bonuses and rewards
• 401(k) plan with a generous company match, fully vested from day one

Comprehensive Health and Wellness Benefits

• Flexible health, dental, and vision insurance options tailored to your needs
• Company contribution towards health savings accounts (HSA) for high-deductible health plan (HDHP) participants
• 100% company-paid short-term disability, long-term disability, and life insurance
• Wellness programs and resources to support your physical and mental health

Work-Life Balance

• Generous paid time off, including vacation, sick leave, and 11 paid holidays annually
• Two paid volunteer days to support causes you're passionate about
• Flexible work arrangements to accommodate your lifestyle

Professional Development

• Robust onboarding program and ongoing training opportunities
• Reimbursement for role-related continuing education and certifications

Family-Friendly Policies

• Paid parental leave for new parents
• Dependent care flexible spending accounts
• Support for work-life integration

Collaborative and Purpose-Driven Environment

• Work alongside professionals who share your commitment to Honest's high-quality, value-based care model
• Opportunities to contribute to meaningful projects and initiatives

Additional Perks

• Team member recognition programs
• Team-building events and social activities

Join us and experience a rewarding career where your contributions are valued and your growth is supported.

Honest Health is committed to ensuring fairness, opportunity, strong teams, and full integration of team members into the organization. We take proactive steps to ensure all applicants are considered for employment based on merit, without regard to race, color, religion, sex, national origin, disability, Veteran status, or other legally-protected characteristics.

Honest Health is committed to working with and providing reasonable accommodations to job applicants with physical or mental disabilities. Applicants with a disability who require a reasonable accommodation for any part of the application or hiring process should email [email protected] for assistance. Reasonable accommodation will be determined on a case-by-case basis.

Honest Health values a secure and transparent recruitment process. We contact candidates through our official recruiting platform, email, or text message. When working directly with candidates, Honest Health will always use an HonestHealth.com or Honest-Health.com email address. Our hiring process includes a live phone call or in-person interview before any formal offer is extended.

To safeguard your personal information, Honest Health will never ask for confidential details—such as social security numbers, bank accounts, or routing numbers—before making a formal offer. We will also never request financial transactions, PINs, passwords, or security access details through email, text, Venmo, or any social media platform.

We encourage all candidates to verify the contact information of individuals they interact with during the recruitment process. If you have any questions about the authenticity of a communication, please reach out to our team at [email protected].