[Hiring] APP Clinical Documentation Integrity Reviewer @Wellbe Senior Medical

Role Description

The APP Clinical Documentation Integrity (CDI) Reviewer establishes and supports a clinically focused documentation audit and education function within Documentation/Risk Adjustment. Leveraging advanced practice provider clinical judgment, this role evaluates whether medical records contain sufficient clinical evidence to support reported diagnoses, identifies documentation and compliance risks, and delivers peer-level education to improve documentation accuracy, specificity, and defensibility. The reviewer partners with providers, coding, compliance, clinical leadership, and risk adjustment teams to strengthen audit readiness, reduce repeat findings, and address documentation issues proactively.

Qualifications

• Master’s degree from an accredited advanced practice nursing or physician assistant program.
• Minimum of three years of clinical practice experience as an advanced practice provider.
• Experience with clinical documentation integrity, risk adjustment, auditing, or provider education is strongly preferred.
• Experience reviewing complex adult or geriatric medical records is preferred.
• Strong clinical assessment and critical-thinking skills.
• Ability to evaluate documentation against the patient’s clinical picture.
• Knowledge of compliant diagnosis documentation and risk adjustment principles.
• Clear written and verbal communication.
• Effective provider education and feedback skills.
• Sound judgment when escalating risk.
• Attention to detail.
• Ability to analyze trends and manage multiple priorities independently in a remote environment.
• Proficiency with electronic health records and standard Microsoft Office applications.
• Current, unrestricted license as a Nurse Practitioner, Physician Assistant, or other approved advanced practice provider in at least one U.S. state.
• National board certification appropriate to the APP discipline is required.
• Clinical documentation integrity, coding, audit, or risk adjustment certification is preferred.

Requirements

• Ability to stand or sit for extended periods.
• Visual acuity and fine motor skills.
• Ability to travel locally or nationally as needed.
• This position is performed in a remote, professional work environment.
• Routine use of a computer, telephone, video conferencing, and electronic health record or audit systems is required.
• Travel may be required up to 15% locally or nationally for meetings, education, or other business needs.

Benefits

• WellBe does not offer employment-based visa sponsorship for this position.
• Compensation for this position will be disclosed in accordance with applicable state and local pay transparency laws.
• This position has been designated as safety-sensitive.
• Employees in safety-sensitive positions are subject to drug and alcohol testing.
• As a condition of employment, WellBe Senior Medical requires all candidates to successfully complete a pre-employment drug screening.
• Employment is contingent upon successful completion of a background check.
• WellBe is an Equal Opportunity Employer.
• WellBe Senior Medical is committed to complying with the Americans with Disabilities Act (ADA).
• Employment with WellBe is at-will unless otherwise specified by contract.