Healthcare CDI Audit Lead - Quality & Revenue Integrity

Datavant; Honolulu (HI); On-site; USD 50,000 - 58,000; Full time

Benefits offered by this job

Health, dental & vision insurance

401k with match

PTO and holidays

Flexible work arrangements

Job summary

Datavant is seeking a CDQI Audit Specialist to assess the quality, accuracy and compliance of CDI reviews, identify education and process improvements, and support revenue integrity.

This role is full-time and will involve auditing, education delivery, staff mentoring and collaboration with physicians to optimize documentation and reimbursement. You will contribute to program improvement while safeguarding patient information and adhering to HIPAA standards.

Qualifications

• 5+ years CDI experience and/or auditing.
• 3+ years 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 CDI reviews for accuracy and compliance.
• Provide individualized feedback to CDQI staff and develop education plans based on audit findings.
• Maintain audit tools, scoring methodologies, and audit documentation.
• 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 and accuracy.
• Maintain confidentiality and safeguard PHI in compliance with HIPAA and policies.

Skills

CDI auditing

CDQI experience

Clinical experience

RN/BSN

EMR systems

Epic

Cerner

3M

Iodine

Education

RN/BSN with CCDS/CDIP

Tools

Epic

Cerner

3M

Iodine

Job description

Datavant is seeking a CDQI Audit Specialist to assess the quality, accuracy and compliance of CDI reviews, identify education and process improvements, and support revenue integrity.

This role is full-time and will involve auditing, education delivery, staff mentoring and collaboration with physicians to optimize documentation and reimbursement. You will contribute to program improvement while safeguarding patient information and adhering to HIPAA standards.