CDQI Audit Specialist - Healthcare Data Quality

Datavant; Boise (ID); On-site; USD 50,000 - 58,000; Full time

Benefits offered by this job

Health, dental, and vision insurance

401k with match

Paid time off and holidays

Flexible work arrangements

Career growth opportunities

Job summary

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

This full-time role emphasizes audits, education plans, and collaboration with physicians to optimize documentation and reimbursement while safeguarding PHI and complying with HIPAA.

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 and compliant query generation.
• Review missed opportunities affecting reimbursement, quality reporting and patient outcomes; collaborate with physicians for appropriate reimbursement and clinical severity.
• Evaluate CDQI staff adherence to 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 such as query rates, accuracy scores, and CC/MCC capture rates.

Skills

CDI experience

Auditing

Clinical experience

Education

RN or BSN with CCDS or CDIP certification

Tools

Epic

Cerner

3M

Iodine

Job description

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

This full-time role emphasizes audits, education plans, and collaboration with physicians to optimize documentation and reimbursement while safeguarding PHI and complying with HIPAA.