CDI Quality & Revenue Integrity Auditor

Datavant; Phoenix (AZ); On-site; USD 69,000 - 79,000; Full time

Benefits offered by this job

Health insurance

Dental insurance

Vision insurance

401k with match

PTO & holidays

Flexible work arrangements

Career growth

Job summary

Datavant is seeking a Clinical Documentation Quality Improvement (CDQI) Audit Specialist to drive accuracy, compliance and revenue integrity across CDI reviews. The role emphasizes audit feedback, education, and performance monitoring to elevate patient care and documentation quality.

This full-time position requires CDI experience, clinical background, and proficiency with major EMRs. You will partner with physicians, CI and IT teams to optimize documentation practices and payer 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 staff to ensure accurate documentation and compliant query generation.
• Assess capture of SOI, ROM, CC/MCC, and HCC, aligning with coding, quality and regulatory requirements.
• Review missed opportunities impacting reimbursement, quality reporting and patient outcomes; collaborate with physicians for appropriate reimbursement.
• Evaluate CDQI staff adherence to workflows and policies.
• Maintain audit tools, scoring methodologies and documentation.
• Provide individualized feedback and education plans based on audit findings.
• Onboard and mentor new CDQI staff.
• Deliver educational presentations on documentation, coding, and regulatory updates.
• Collaborate with Physician Advisor on opportunities and trends.
• Monitor production metrics: query rates, accuracy, and case mix impact.
• Ensure confidentiality and HIPAA compliance in handling PHI.
• Meet/exceed production, quality, and performance metrics.

Skills

CDI experience

Clinical experience

RN/BSN with CCDS/CDIP

CDI skills competency

EMR systems (Epic/Cerner/3M/Iodine)

Education

RN or BSN with CCDS/CDIP certification

Tools

Epic

Cerner

3M CDI software

Iodine

Job description

Datavant is seeking a Clinical Documentation Quality Improvement (CDQI) Audit Specialist to drive accuracy, compliance and revenue integrity across CDI reviews. The role emphasizes audit feedback, education, and performance monitoring to elevate patient care and documentation quality.

This full-time position requires CDI experience, clinical background, and proficiency with major EMRs. You will partner with physicians, CI and IT teams to optimize documentation practices and payer outcomes.