CDI Audit & Quality Improvement Specialist

Datavant; Hagåtña (GU); On-site; USD 50,000 - 58,000; Full time

Benefits offered by this job

Health, dental, vision insurance

401k with match

PTO and paid holidays

Job summary

Datavant is seeking a Clinical Documentation Quality Improvement Audit Specialist to evaluate the quality, accuracy, compliance, and effectiveness of CDI reviews. You will provide feedback, education, and performance monitoring to support continuous CDI program improvement, with a focus on patient care quality and compliance.

The role is full-time with responsibilities including audits, education planning, onboarding, and cross-functional collaboration with physicians to optimize reimbursement,

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.

Responsibilities

• Conduct retrospective and concurrent audits of CDIQ Specialists work to ensure accurate documentation review practices and compliant query generation.
• Review missed opportunities impacting reimbursement and quality reporting; collaborate with physicians for appropriate reimbursement and clinical severity.
• Evaluate CDQI staff adherence to workflows and policies.
• Maintain audit tools, scoring methodologies, and audit documentation.
• Provide feedback and education plans based on audit findings.
• Participate in onboarding and mentoring new CDQI staff.
• Deliver educational presentations on documentation, coding, and regulatory updates.
• Collaborate with Physician Advisor on opportunities and trends.
• Monitor program performance indicators and HIPAA-compliance.

Skills

CDI auditing

Clinical documentation

Regulatory compliance

Interpersonal communication

Education

RN or BSN with CCDS/CDIP

Tools

Epic

Cerner

3M

IODINE

Job description

Datavant is seeking a Clinical Documentation Quality Improvement Audit Specialist to evaluate the quality, accuracy, compliance, and effectiveness of CDI reviews. You will provide feedback, education, and performance monitoring to support continuous CDI program improvement, with a focus on patient care quality and compliance.

The role is full-time with responsibilities including audits, education planning, onboarding, and cross-functional collaboration with physicians to optimize reimbursement,