Part-Time CDI Audit & Quality Improvement Specialist

Datavant; United States; Hybrid; USD 69,000 - 79,000; Part time

Job summary

Datavant is seeking a part-time Clinical Documentation Quality Improvement (CDQI) Audit Specialist to evaluate CDI reviews for accuracy, compliance and revenue integrity. You will provide feedback, education and performance monitoring to support continuous improvement of the CDI program and protect patient care quality.

You will conduct audits of CDIQ Specialists’ work, review documentation practices, collaborate with physicians, maintain audit tools and deliver educational findings.

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 CDQI 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 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.
• Onboard and mentor new CDQI staff; deliver educational presentations on documentation, coding and regulatory updates.
• Collaborate with Physician Advisor regarding documentation opportunities and trends.
• Monitor program performance indicators such as query rates, accuracy scores, case mix index impact and CC/MCC capture rates.

Skills

CDI auditing

Clinical documentation

Communication skills

Teamwork

Adaptability

Analytical thinking

Education

RN/BSN with CCDS or CDIP

Tools

Epic

Cerner

3M

Iodine

Job description

Datavant is seeking a part-time Clinical Documentation Quality Improvement (CDQI) Audit Specialist to evaluate CDI reviews for accuracy, compliance and revenue integrity. You will provide feedback, education and performance monitoring to support continuous improvement of the CDI program and protect patient care quality.

You will conduct audits of CDIQ Specialists’ work, review documentation practices, collaborate with physicians, maintain audit tools and deliver educational findings.