CDI Audit & Quality Improvement Specialist

Datavant; Boston (MA); On-site; USD 50,000 - 58,000; Full time

Benefits offered by this job

Health, dental, vision insurance

401k with match

PTO and holidays

Flexible work arrangements

Job summary

Datavant seeks a Clinical Documentation Quality Improvement (CDQI) Audit Specialist to evaluate CDI reviews for quality, accuracy, and compliance, while guiding education and process improvements. The role drives revenue integrity, collaborates with clinicians, and monitors metrics to ensure high standards in patient care.

The position is full-time, with responsibilities spanning audits, education, onboarding, and collaboration with Physician Advisors to identify opportunities and trends in

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 EMRs and CDI software including Epic, Cerner, 3M, Iodine.

Responsibilities

• Conduct retrospective and concurrent audits of CDIQ Specialists to ensure accurate documentation review practices and compliant query generation.
• Review missed opportunities impacting reimbursement, quality reporting and patient outcomes; collaborate with physicians to ensure appropriate reimbursement and clinical severity for DRG-based payer patients.
• Evaluate CDQI staff adherence to workflows, policies and industry standards.
• Maintain audit tools, scoring methodologies, and audit documentation.
• Provide individualized feedback to CDQI Specialists and develop education plans based on audit findings.
• Participate in onboarding and mentoring new CDQI staff.
• Deliver educational presentations on documentation, coding, regulatory updates and best practices.
• Collaborate with Physician Advisor regarding documentation opportunities and trends.
• Monitor program performance indicators (query rates, agreement rates, accuracy scores, CC/MCC capture rates).

Skills

CDI auditing

Clinical experience

CDI competency

HIPAA awareness

Education

RN/BSN with CCDS or CDIP certification

Tools

Epic

Cerner

3M

Iodine

Job description

Datavant seeks a Clinical Documentation Quality Improvement (CDQI) Audit Specialist to evaluate CDI reviews for quality, accuracy, and compliance, while guiding education and process improvements. The role drives revenue integrity, collaborates with clinicians, and monitors metrics to ensure high standards in patient care.

The position is full-time, with responsibilities spanning audits, education, onboarding, and collaboration with Physician Advisors to identify opportunities and trends in