CDQI Auditor — Clinical Documentation Quality

Datavant; Trenton (NJ); On-site; USD 50,000 - 58,000; Full time

Benefits offered by this job

Health insurance

401k Savings plan with match

Paid time off (PTO) & holidays

Flexible work arrangements

Career growth and development

Job summary

Datavant is seeking a Clinical Documentation Quality Improvement (CDQI) Audit Specialist to evaluate the quality, accuracy, and compliance of CDI reviews and identify opportunities for education and process improvement.

The role involves audits of CDIQ Specialists, collaboration with physicians, maintaining audit tools, delivering education, and ensuring DRG capture accuracy while protecting PHI under 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, etc.
• Strong organizational 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 impacting reimbursement, quality reporting and patient outcomes; collaborate with physicians for appropriate reimbursement and DRG capture.
• Evaluate CDQI staff adherence to workflows and policies; maintain audit tools and documentation.
• Provide individualized feedback and education plans based on audit findings.
• Participate in onboarding and mentoring new CDQI staff; deliver educational presentations on documentation and regulatory updates.

Education

RN or BSN with CCDS or CDIP certification

Tools

Epic

Cerner

3M

Iodine

Job description

Datavant is seeking a Clinical Documentation Quality Improvement (CDQI) Audit Specialist to evaluate the quality, accuracy, and compliance of CDI reviews and identify opportunities for education and process improvement.

The role involves audits of CDIQ Specialists, collaboration with physicians, maintaining audit tools, delivering education, and ensuring DRG capture accuracy while protecting PHI under HIPAA.