CDI Audit & Quality Improvement, Revenue Integrity

Datavant; Carson City (NV); On-site; USD 104,000 - 119,000; Full time

Benefits offered by this job

Health insurance

Dental insurance

Vision insurance

401k with match

Job summary

Datavant is seeking a Clinical Documentation Quality Improvement (CDQI) Audit Specialist to evaluate CDI reviews for accuracy, compliance, and revenue integrity across payer processes. You will provide feedback, education and performance monitoring to support continuous improvement of the CDI program and ensure quality patient care.

You will conduct retrospective and concurrent audits, collaborate with physicians, monitor metrics, and deliver education on documentation, coding, and regulatory

Qualifications

• 5+ years of CDI experience and/or auditing.
• 3+ years of clinical experience in an academic medical center.
• RN or BSN with CCDS or CDIP certification.
• Must pass CDI skills competency assessment.
• Experience with various EMRs and CDI software including Epic, Cerner, 3M, Iodine.
• Strong organizational, teamwork and communication skills.

Responsibilities

• Conduct retrospective and concurrent audits of CDI specialists work to ensure accurate documentation review practices.
• Review missed opportunities impacting reimbursement, quality reporting and patient outcomes.
• Evaluate staff adherence to workflows, policies and industry standards.
• Maintain audit tools, scoring methodologies and audit documentation.
• Provide individualized feedback and education plans based on audit findings.
• Participate in onboarding and mentoring new staff.
• Deliver educational presentations on documentation and regulatory updates.
• Monitor program performance indicators such as query rates and accuracy scores.
• Maintain PHI confidentiality and comply with HIPAA and privacy standards.
• Meet production, quality and performance metrics by completing audits on time.

Skills

CDI auditing

Clinical documentation improvement

RN/BSN with CCDS/CDIP

EMR systems (Epic Cerner 3M Iodine)

Communication skills

Organizational skills

Education

RN/BSN with CCDS or CDIP

Tools

Epic

Cerner

3M CDI

Iodine

Job description

Datavant is seeking a Clinical Documentation Quality Improvement (CDQI) Audit Specialist to evaluate CDI reviews for accuracy, compliance, and revenue integrity across payer processes. You will provide feedback, education and performance monitoring to support continuous improvement of the CDI program and ensure quality patient care.

You will conduct retrospective and concurrent audits, collaborate with physicians, monitor metrics, and deliver education on documentation, coding, and regulatory