CDQI Audit Specialist — Quality, Compliance & Education

Datavant; Topeka (KS); On-site; USD 50,000 - 58,000; Full time

Benefits offered by this job

Health, dental & vision insurance

401k with match

Paid time off and holidays

Flexible work arrangements

Career growth opportunities

Job summary

Datavant is seeking a Clinical Documentation Quality Improvement (CDQI) Audit Specialist to evaluate CDI reviews, ensure compliant documentation and support education and process improvement across the CDI program. This full-time role focuses on improving reimbursement accuracy, coding integrity and patient care outcomes.

You will conduct audits, provide feedback, mentor staff, and collaborate with physicians to align documentation with regulatory standards and DRG requirements.

Qualifications

• 5+ years of CDI auditing experience.
• 3+ years clinical experience in an academic medical center.
• RN or BSN with CCDS or CDIP certification.
• 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 specialists to ensure accurate documentation review, compliant query generation, and appropriate capture of SOI, ROM, CC/MCC, HCC, aligning with coding and regulatory requirements.
• Review missed opportunities affecting reimbursement, quality reporting and patient outcomes; collaborate with physicians and caregivers for appropriate reimbursement and clinical severity for DRG-based payer patients.
• Evaluate CDQI staff adherence to workflows and policies; maintain audit tools, scoring methodologies and documentation.
• Provide individualized feedback and develop education plans based on audit findings.
• Participate in onboarding and mentoring new CDQI staff; deliver educational presentations on documentation, coding and regulatory updates.
• Monitor program performance indicators including query rates, agreement rates, and CC/MCC capture rates.

Skills

CDI experience

Auditing

RN or BSN

CCDS/CDIP

EMR experience

Education

RN/BSN with CCDS/CDIP

Job description

Datavant is seeking a Clinical Documentation Quality Improvement (CDQI) Audit Specialist to evaluate CDI reviews, ensure compliant documentation and support education and process improvement across the CDI program. This full-time role focuses on improving reimbursement accuracy, coding integrity and patient care outcomes.

You will conduct audits, provide feedback, mentor staff, and collaborate with physicians to align documentation with regulatory standards and DRG requirements.