Medical Coding Quality Auditor - Hybrid

About Neolytix

Neolytix is a tech-enabled healthcare services company focused on delivering impactful solutions across medical billing, credentialing, contact center support, virtual assistant staffing, and AI-driven automation. We support healthcare provider organizations across the U.S. with a focus on improving operational efficiency, compliance, and patient experience.

We are expanding our Clinical Documentation Integrity (CDI) services and are looking for a highly experienced, entrepreneurial CDI Leader who can build and scale this function — with a focus on developing and managing an offshore delivery team.

Role Overview

This is a player-coach role for a Subject Matter Expert (SME) in Clinical Documentation Integrity who can:

• Create and implement CDI standards and best practices
• Collaborate with clients to understand documentation challenges and quality improvement needs
• Design scalable service delivery processes to be executed by an offshore team
• Hire, train, and lead offshore CDI specialists
• Establish metrics and governance for continuous improvement and regulatory compliance

You will be the foundational leader of this service line and instrumental in its strategic growth.

Key Responsibilities

CDI Program Design & Governance

• Develop CDI protocols, policies, and documentation improvement strategies for provider organizations
• Lead implementation of CDI services for new clients, including documentation audits, gap analysis, and recommendations
• Ensure adherence to industry standards (AHIMA, ACDIS) and payer documentation requirements

Operational Leadership

• Build scalable workflows and SOPs for offshore CDI operations
• Select, train, and mentor offshore CDI team members to ensure service quality
• Define KPIs and build performance dashboards to monitor team effectiveness and documentation impact

Client Engagement & SME Support

• Act as the SME on all client interactions regarding documentation improvement strategies
• Collaborate with physicians, HIM staff, coders, and revenue cycle teams to align documentation with coding and compliance
• Provide education and feedback sessions to clients and internal teams

Compliance & Quality

• Establish quality audit programs to ensure CDI work meets client expectations and regulatory standards
• Stay abreast of CMS, HCC, risk adjustment, and inpatient/outpatient CDI changes and best practices
• Contribute to technology adoption for CDI (e.g., NLP tools, clinical data insights)

Qualifications Required

• 7+ years of progressive experience in Clinical Documentation Improvement, with experience across both inpatient and outpatient settings
• Deep understanding of CDI workflows, risk-adjusted payment models (e.g., HCC), and coding/documentation best practices
• Experience working with or leading remote/offshore teams
• CCDS, CDIP, RHIA, RHIT, or relevant certifications strongly preferred
• Experience collaborating directly with providers and RCM teams
• Excellent communication and training skills

Preferred

• Experience in setting up CDI programs from the ground up
• Familiarity with AI-enabled CDI tools, clinical NLP solutions, or EHR-integrated documentation improvement software
• Prior experience in a healthcare BPO or MSO environment

Why Join Neolytix?

• Help build a CDI center of excellence from the ground up
• Work in a highly entrepreneurial environment that values innovation and ownership
• Contribute to the transformation of clinical documentation for healthcare providers nationwide
• Be part of a growing, tech-enabled healthcare services company with global operations

Compensation & Benefits

• Competitive base salary + performance bonuses
• Remote work flexibility with occasional travel
• Health, dental, and retirement benefits
• Opportunity to grow into a senior leadership position as the CDI service line scales

What We Offer

• Competitive compensation package
• Hybrid work flexibility (mix of remote and in-office)
• Collaborative, mission-driven team culture
• Opportunities for career development and CDI certification support
• Comprehensive benefits including HMO, Leave Credits