CDI Audit Specialist: Elevate Documentation

Datavant; Bismarck (ND); On-site; USD 69,000 - 80,000; Part time

Job summary

Datavant is seeking a part-time CDQI Audit Specialist to evaluate the quality and accuracy of CDI reviews, provide feedback, and support education and process improvements. You will audit CDQI staff work, identify opportunities for improved reimbursement and patient outcomes, and collaborate with physicians to ensure appropriate coding and DRG severity.

The role emphasizes maintaining HIPAA compliance, data confidentiality, and delivering actionable audit findings with clear educational guidance

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, etc.
• Strong organizational, teamwork and communication skills.

Responsibilities

• Conduct retrospective and concurrent audits of CDI Specialists' work to ensure accurate documentation review practices, compliant query generation, assess appropriate capture of: SOI, ROM, CC/MCC, HCC, and align with coding, quality and regulatory requirements.
• Review missed opportunities impacting reimbursement, quality reporting and patient outcomes. Collaborate with physicians and caregivers to ensure appropriate reimbursement and clinical severity for DRG-based payer patients.
• Evaluate CDQI staff adherence to organizational 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, including query rates, query response rates, agreement rates, accuracy scores, case mix index impact and CC/MCC capture rates.
• Maintain confidentiality and safeguard PHI, medical records, audit documentation, and company data in compliance with HIPAA, policies and regulatory requirements.
• Meet or exceed established production, quality, and performance metrics by completing assigned audits within designated timeframes and maintaining high standards of accuracy, consistency, and objectivity.

Skills

CDI auditing

Auditing experience

Communication skills

Organization skills

Team collaboration

Education

RN or BSN with CCDS or CDIP

Tools

Epic

Cerner

3M CDI

Iodine

Job description

Datavant is seeking a part-time CDQI Audit Specialist to evaluate the quality and accuracy of CDI reviews, provide feedback, and support education and process improvements. You will audit CDQI staff work, identify opportunities for improved reimbursement and patient outcomes, and collaborate with physicians to ensure appropriate coding and DRG severity.

The role emphasizes maintaining HIPAA compliance, data confidentiality, and delivering actionable audit findings with clear educational guidance