CDI Audit Specialist — Flexible Work & Quality Impact

Datavant; Helena (MT); On-site; USD 50,000 - 58,000; Full time

Benefits offered by this job

Health, dental, vision insurance

401k with match

Paid time off & holidays

Job summary

Datavant is seeking a Clinical Documentation Quality Improvement (CDQI) Audit Specialist to lead audits of CDI reviews, ensure compliant query generation, and drive education to improve documentation accuracy and reimbursement integrity. You will partner with clinicians and the CDQI team to enhance patient care quality and regulatory adherence.

The role requires 5+ years in CDI or auditing, 3+ years in a clinical setting, and RN/BSN with CCDS or CDIP certification.

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' work to ensure accurate documentation review practices, compliant query generation, and alignment with coding, quality and regulatory requirements.
• Review missed opportunities impacting reimbursement, quality reporting and patient outcomes; collaborate with physicians for 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 and deliver educational presentations on documentation and regulatory updates.
• Collaborate with Physician Advisor regarding documentation opportunities and trends.
• Monitor program performance indicators (query rates, accuracy, CC/MCC capture, etc.).

Skills

CDI auditing

Clinical experience

Auditing/quality review

Regulatory awareness

Education

RN or 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 lead audits of CDI reviews, ensure compliant query generation, and drive education to improve documentation accuracy and reimbursement integrity. You will partner with clinicians and the CDQI team to enhance patient care quality and regulatory adherence.

The role requires 5+ years in CDI or auditing, 3+ years in a clinical setting, and RN/BSN with CCDS or CDIP certification.