CDI Quality & Compliance Auditor (Part-Time)

Datavant; Honolulu (HI); On-site; USD 69,000 - 80,000; Part time

Job summary

Datavant seeks a part-time Clinical Documentation Quality Improvement (CDQI) Audit Specialist to evaluate CDI reviews for accuracy, compliance and effectiveness, and to identify opportunities for education and process improvement. You will provide feedback, education and performance monitoring to support CDI program enhancement and patient care quality.

This role involves auditing, educating and mentoring CDQI staff, collaborating with physicians, and monitoring performance metrics while

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.
• Strong organizational, teamwork and communication skills.

Responsibilities

• Conduct retrospective and concurrent audits of CDIQ 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.

Skills

CDI auditing

Auditing experience

Clinical CDI work

Communication skills

Education

RN or BSN with CCDS or CDIP

Tools

Epic

Cerner

3M CDI tools

Iodine

Job description

Datavant seeks a part-time Clinical Documentation Quality Improvement (CDQI) Audit Specialist to evaluate CDI reviews for accuracy, compliance and effectiveness, and to identify opportunities for education and process improvement. You will provide feedback, education and performance monitoring to support CDI program enhancement and patient care quality.

This role involves auditing, educating and mentoring CDQI staff, collaborating with physicians, and monitoring performance metrics while