CDI Audit & Quality Improvement Specialist (Part-Time)

Datavant; Austin (TX); On-site; USD 50,000 - 58,000; Part time

Job summary

Datavant is seeking a part-time CDQI Audit Specialist to evaluate the quality and compliance of CDI reviews. You will identify education and process improvements, provide feedback, and support revenue integrity while safeguarding PHI in a healthcare setting.

You will audit, educate, and mentor CDQI staff, monitor performance metrics, and collaborate with physicians to improve documentation, DRG accuracy, and patient care outcomes.

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 CDQI Specialists’ work to ensure accurate documentation review practices, compliant query generation, and appropriate capture of SOI, ROM, CC/MCC, HCC, per regulatory requirements.
• Review missed opportunities affecting reimbursement, quality reporting and patient outcomes; collaborate with physicians to ensure appropriate reimbursement and clinical severity for DRG-based patients.
• Evaluate CDQI 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 CDQI staff.
• Deliver educational presentations on documentation, coding, regulatory updates and best practices.
• Collaborate with Physician Advisor regarding documentation opportunities and trends.
• Track program metrics such as query rates and accuracy scores.
• Ensure PHI confidentiality and HIPAA compliance in all audit activities.
• Produce actionable audit findings to support CDI program improvement.

Skills

CDI audits

Auditing experience

EMR systems

HIPAA compliance

Education

RN/BSN with CCDS or CDIP

Tools

Epic

Cerner

3M CDI

Iodine CDI

Job description

Datavant is seeking a part-time CDQI Audit Specialist to evaluate the quality and compliance of CDI reviews. You will identify education and process improvements, provide feedback, and support revenue integrity while safeguarding PHI in a healthcare setting.

You will audit, educate, and mentor CDQI staff, monitor performance metrics, and collaborate with physicians to improve documentation, DRG accuracy, and patient care outcomes.