CDQI Clinical Documentation Auditor – Impact & Quality

Datavant; Madison (WI); On-site; USD 69,000 - 79,000; Full time

Benefits offered by this job

Health, dental, and vision insurance

401k with match

Paid time off

Flexible work arrangements

Career growth opportunities

Job summary

Datavant is seeking a CDQI Audit Specialist to evaluate CDI reviews, ensure accuracy and compliance, and identify opportunities for education and process improvements across the CDI program.

You will audit CDQI specialists' work, provide feedback, collaborate with physicians, and monitor metrics to improve reimbursement accuracy and patient care outcomes, while safeguarding PHI and HIPAA requirements.

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 EMRs and CDI software including Epic, Cerner, 3M, Iodine.

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 and quality reporting; collaborate with physicians for appropriate reimbursement and clinical severity for DRG-based payer patients.
• Evaluate CDQI staff adherence to workflows, policies, and industry standards.
• Maintain audit tools, scoring methodologies, and audit documentation.
• Provide individualized feedback and education plans based on audit findings.
• Participate in onboarding and mentoring of new CDQI staff.
• Deliver educational presentations on documentation, coding and regulatory updates.

Skills

CDI auditing

Clinical CDI experience

Documentation quality

Education

RN or BSN with CCDS or CDIP

Tools

Epic

Cerner

3M CDI

Iodine

Job description

Datavant is seeking a CDQI Audit Specialist to evaluate CDI reviews, ensure accuracy and compliance, and identify opportunities for education and process improvements across the CDI program.

You will audit CDQI specialists' work, provide feedback, collaborate with physicians, and monitor metrics to improve reimbursement accuracy and patient care outcomes, while safeguarding PHI and HIPAA requirements.