CDQI Audit Specialist

Datavant; Northern (KY); Hybrid; USD 50,000 - 58,000; Full time

Benefits offered by this job

Health insurance

Dental insurance

Vision insurance

401k with match

PTO and holidays

Flexible work arrangements

Job summary

Datavant is seeking a CDQI Audit Specialist to evaluate CDI reviews for quality, accuracy, and compliance, and to identify opportunities for education and process improvement. The role supports revenue integrity and patient care outcomes in a regulated healthcare environment.

The Auditor provides feedback, education, and performance monitoring to strengthen the CDI program, with responsibilities spanning audits, onboarding, and ongoing education for staff. This is a full-time remote US position.

Qualifications

• 5+ years 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 (Epic, Cerner, 3M, Iodine).
• Professional, organized with strong communication.

Responsibilities

• Conduct retrospective and concurrent audits of CDI work for accuracy and compliance.
• Review missed opportunities affecting reimbursement and quality reporting.
• Collaborate with physicians to ensure appropriate reimbursement and DRG severity.
• Maintain audit tools, scoring methods, and documentation.
• Provide feedback and education plans based on audit findings.
• Mentor new CDQI staff and deliver educational presentations.
• Monitor program performance metrics including query rates and accuracy.
• Protect PHI and comply with HIPAA and privacy standards.
• Meet or exceed production and quality targets with accuracy.

Skills

CDI auditing

Healthcare CDI

Auditing

Documentation review

Education

RN or BSN with CCDS/CDIP

Tools

Epic

Cerner

3M CDI

Iodine

Job description

CDQI Audit Specialist

8280 Remote - United States Full-time regular

Datavant is the data collaboration platform trusted for healthcare. Guided by our mission to make the world’s health data secure, accessible and actionable, we provide critical data solutions for organizations across the healthcare ecosystem - including providers, health plans, researchers, and life sciences companies. From fulfilling a single patient’s request for their medical records to powering the AI revolution in healthcare, Datavanters are building the future of how data is connected and used to improve health.

By joining Datavant today, you’re stepping onto a driven and highly collaborative team that is passionate about creating transformative change in healthcare.

What We’re Looking For:

As a Clinical Documentation Quality Improvement (CDQI) Audit Specialist, you will be instrumental in evaluating the quality, accuracy, compliance and effectiveness of CDI reviews while identifying opportunities for education, process improvement and revenue integrity enhancement. The Auditor provides feedback, education and performance monitoring to support continuous improvement of the CDI program. Join us in this critical role where your efforts will have a direct and meaningful impact on the quality and effectiveness of patient care.

This role is full-time.

What You Will Do:

• 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.
• 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 protected health information (PHI), medical records, audit documentation, and company data in compliance with HIPAA, organizational policies, and regulatory requirements. Adhere to established privacy, security, and information governance standards when accessing, reviewing, storing, and communicating sensitive information.
• 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. Produce clear, actionable audit findings and educational feedback that support CDI staff development and program improvement

What You Need to Succeed:

• 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.
• Ability to function in a professional, efficient, and positive manner
• Strong organizational, teamwork and communication skills.

What We Offer:

• Benefits for Full-Time employees include comprehensive health, dental, and vision insurance. 401k Savings plan with match.
• Paid time off (PTO) plan, plus floating holidays and paid holidays.
• Flexible work arrangements
• Opportunities for career growth and development

We are committed to building a diverse team of Datavanters who are all responsible for stewarding a high-performance culture in which all Datavanters belong and thrive. We are proud to be an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, sex, sexual orientation, gender identity, religion, national origin, disability, veteran status, or other legally protected status.

At Datavant our total rewards strategy powers a high-growth, high-performance, health technology company that rewards our employees for transforming health care through creating industry-defining data logistics products and services.

The range posted is for a given job title, which can include multiple levels. Individual rates for the same job title may differ based on their level, responsibilities, skills, and experience for a specific job.

The estimated total cash compensation range for this role is: $50 — $57.50 USD

To ensure the safety of patients and staff, many of our clients require post-offer health screenings and proof and/or completion of various vaccinations such as the flu shot, Tdap, COVID-19, etc. Any requests to be exempted from these requirements will be reviewed by Datavant Human Resources and determined on a case-by-case basis. Depending on the state in which you will be working, exemptions may be available on the basis of disability, medical contraindications to the vaccine or any of its components, pregnancy or pregnancy-related medical conditions, and/or religion.

This job is not eligible for employment sponsorship.

We are committed to building a diverse team of Datavanters who are all responsible for stewarding a high-performance culture in which all Datavanters belong and thrive. We are proud to be an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, sex, sexual orientation, gender identity, religion, national origin, disability, veteran status, or other legally protected status.

To learn more about our commitment, please review our EEO Commitment Statement here. Know Your Rights , explore the resources available through the EEOC for more information regarding your legal rights and protections. In addition, Datavant does not and will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay.

Datavant is the data collaboration platform trusted for healthcare. With a mission to make the world’s health data secure, accessible, and actionable, Datavant works with payers, providers, life sciences, legal and insurance clients globally to accelerate insights. Datavant enables more than 60 million healthcare records to move between thousands of organizations across the healthcare ecosystem, more than 80,000 hospitals and clinics, 75% of the 100 largest health systems, and 350+ real-world data partners. Datavant has office locations in Boston, New York and San Diego, with international offices in Barcelona and Galway.