Clinical Documentation Quality Auditor

Datavant; Augusta (ME); On-site; USD 69,000 - 80,000; Full time

Benefits offered by this job

Health insurance

Dental insurance

Vision insurance

401k with match

PTO + holidays

Flexible work

Career growth

Job summary

Datavant is seeking a Clinical Documentation Quality Improvement (CDQI) Audit Specialist to evaluate CDI reviews, ensure accurate documentation and compliant query generation in a full‑time role in Augusta, ME. You will mentor staff, provide education, and monitor performance metrics to improve reimbursement accuracy and patient outcomes.

The role requires 5+ years in CDI/auditing, RN/BSN with CCDS/CDIP, and experience with Epic, Cerner, 3M, Iodine.

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 Specialists' work to ensure accurate documentation review and compliant query generation.
• Review missed opportunities impacting reimbursement, quality reporting and patient outcomes.
• Collaborate with physicians and caregivers to ensure appropriate reimbursement and clinical severity for DRG-based payer patients.
• Evaluate CDQI staff adherence to organizational 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, including query rates, query response rates, agreement rates, accuracy scores, case mix index impact and CC/MCC capture rates.

Skills

CDI auditing

Clinical documentation

EMR experience

Regulatory knowledge

Communication skills

Teamwork

Education

RN or BSN with CCDS/CDIP certification

Tools

Epic

Cerner

3M

Iodine

Job description

Datavant is seeking a Clinical Documentation Quality Improvement (CDQI) Audit Specialist to evaluate CDI reviews, ensure accurate documentation and compliant query generation in a full‑time role in Augusta, ME. You will mentor staff, provide education, and monitor performance metrics to improve reimbursement accuracy and patient outcomes.

The role requires 5+ years in CDI/auditing, RN/BSN with CCDS/CDIP, and experience with Epic, Cerner, 3M, Iodine.