CDQI Audit Specialist – Healthcare Data Quality & Compliance

Datavant; Salt Lake City (UT); On-site; USD 50,000 - 58,000; Full time

Benefits offered by this job

Health insurance

401k with match

PTO + holidays

Flexible work arrangements

Career growth

Job summary

Datavant is seeking a CDQI Audit Specialist to evaluate the quality, accuracy, and compliance of CDI reviews and identify opportunities for education and process improvement. You will provide feedback and performance monitoring to support CDI program enhancements.

In this full-time role, you will conduct audits of CDI quality, collaborate with physicians, maintain audit tools, and deliver educational presentations on documentation and regulations to enhance patient care and reimbursement

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.
• Strong organizational, teamwork and communication skills.

Responsibilities

• Conduct retrospective and concurrent audits of CDI work to ensure accurate documentation review practices and compliant query generation.
• Review missed opportunities impacting reimbursement and quality reporting; collaborate with physicians 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 audit documentation.
• Provide individualized feedback to staff and develop education plans based on audit findings.
• Participate in onboarding and mentoring new 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, agreement rates, accuracy scores.

Skills

CDI auditing

EMR CDI software

Documentation accuracy

Communication

Teamwork

Organizational skills

Professionalism

Education

RN/BSN with CCDS/CDIP

Job description

Datavant is seeking a CDQI Audit Specialist to evaluate the quality, accuracy, and compliance of CDI reviews and identify opportunities for education and process improvement. You will provide feedback and performance monitoring to support CDI program enhancements.

In this full-time role, you will conduct audits of CDI quality, collaborate with physicians, maintain audit tools, and deliver educational presentations on documentation and regulations to enhance patient care and reimbursement