Clinical Documentation Quality Auditor

Datavant; Lansing (MI); On-site; USD 50,000 - 60,000; Full time

Benefits offered by this job

Health insurance and dental

Vision insurance

401k Savings plan with match

Paid time off

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, while identifying opportunities for education, process improvement and revenue integrity enhancement.

The Auditor provides feedback, mentoring, and education plans, maintains audit tools, and collaborates with physicians to ensure appropriate reimbursement, DRG capture, and adherence to HIPAA and industry standards.

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 Epic, Cerner, 3M, Iodine or similar CDI software.

Responsibilities

• Conduct retrospective and concurrent audits of CDI reviews for accuracy and compliance.
• Review missed opportunities affecting reimbursement and patient outcomes.
• Evaluate staff adherence to workflows, policies and standards.
• Maintain audit tools, scoring methods and documentation.
• Provide feedback and education plans based on findings.
• Onboard and mentor new CDI staff.
• Deliver presentations on documentation and regulatory updates.
• Collaborate with Physician Advisor on documentation opportunities.
• Monitor program performance indicators including CC/MCC capture rates.
• Protect PHI and adhere to HIPAA and privacy standards.
• Meet production and quality metrics; produce actionable audit findings.

Skills

CDI auditing

Healthcare auditing

Documentation quality

Communication skills

Teamwork

Organizational skills

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, while identifying opportunities for education, process improvement and revenue integrity enhancement.

The Auditor provides feedback, mentoring, and education plans, maintains audit tools, and collaborates with physicians to ensure appropriate reimbursement, DRG capture, and adherence to HIPAA and industry standards.