CDQI Audit Specialist: Elevate CDI Quality & Compliance

Datavant; Lincoln (NE); On-site; USD 50,000 - 58,000; Full time

Benefits offered by this job

Health, dental, vision insurance

401k with match

PTO and holidays

Flexible work arrangements

Career growth

Job summary

Datavant is seeking a Clinical Documentation Quality Improvement (CDQI) Audit Specialist to evaluate the quality, accuracy, compliance and effectiveness of CDI reviews. You will provide feedback, education and performance monitoring to support CDI program improvement.

This full-time role requires auditing experience, collaboration with physicians, and adherence to HIPAA and privacy standards. You will deliver educational presentations and help monitor program performance.

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, etc.

Responsibilities

• Conduct retrospective and concurrent audits of CDI staff to ensure accurate documentation and compliant query generation.
• Review missed opportunities impacting reimbursement and quality reporting; collaborate to ensure appropriate reimbursement and clinical severity for DRG-based payer patients.
• Evaluate staff adherence to workflows, policies and industry standards.
• Maintain audit tools, scoring methodologies, and documentation.

Skills

CDI auditing

RN or BSN with CCDS/CDIP

EMR experience

Regulatory knowledge

Communication skills

Education

RN or BSN with CCDS/CDIP

Tools

Epic

Cerner

3M CDI

Iodine

Job description

Datavant is seeking a Clinical Documentation Quality Improvement (CDQI) Audit Specialist to evaluate the quality, accuracy, compliance and effectiveness of CDI reviews. You will provide feedback, education and performance monitoring to support CDI program improvement.

This full-time role requires auditing experience, collaboration with physicians, and adherence to HIPAA and privacy standards. You will deliver educational presentations and help monitor program performance.