CDQI Audit Specialist - CDI Quality & Compliance

Datavant; Honolulu (HI); On-site; USD 50,000 - 58,000; Full time

Benefits offered by this job

Health, dental and vision insurance

401k with match

PTO, floating holidays

Flexible work arrangements

Career growth opportunities

Job summary

Datavant is a data collaboration platform trusted for healthcare. We’re seeking a CDQI Audit Specialist to evaluate CDI reviews, provide feedback, and drive education to improve documentation quality and revenue integrity. This full-time role focuses on auditing, training, and program improvement.

You will work with CDI staff to ensure accurate documentation, regulatory alignment, and optimal reimbursement outcomes across DRG-based payer patients.

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.
• Experience with 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.
• 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.

Skills

CDI auditing

Clinical experience

Regulatory knowledge

Education

RN/BSN with CCDS/CDIP

Tools

Epic

Cerner

3M CDI

Iodine CDI

Job description

Datavant is a data collaboration platform trusted for healthcare. We’re seeking a CDQI Audit Specialist to evaluate CDI reviews, provide feedback, and drive education to improve documentation quality and revenue integrity. This full-time role focuses on auditing, training, and program improvement.

You will work with CDI staff to ensure accurate documentation, regulatory alignment, and optimal reimbursement outcomes across DRG-based payer patients.