CDQI Audit Specialist

Job Overview

Datavant is the data collaboration platform trusted for healthcare.

Guided by our mission to make the world’s health data secure, accessible and actionable, we provide critical data solutions for organizations across the healthcare ecosystem - including providers, health plans, researchers, and life sciences companies.

Job Description

By joining Datavant today, you’re stepping onto a driven and highly collaborative team that is passionate about creating transformative change in healthcare.

Join us in this critical role where your efforts will have a direct and meaningful impact on the quality and effectiveness of patient care. This role is part-time.

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.

Key Responsibilities

• From fulfilling a single patient’s request for their medical records to powering the AI revolution in healthcare, Datavanters are building the future of how data is connected and used to improve health.
• What We’re Looking For: As a Clinical Documentation Quality Improvement (CDQI) Audit Specialist, you will be instrumental in evaluating the quality, accuracy, compliance and effectiveness of CDI reviews while identifying opportunities for education, process improvement and revenue integrity enhancement.
• The Auditor provides feedback, education and performance monitoring to support continuous improvement of the CDI program.
• What You Will Do: Conduct retrospective and concurrent audits of CDIQ Specialists work to ensure accurate documentation review practices, compliant query generation, assess appropriate capture of: SOI, ROM, CC/MCC, HCC, and align with coding, quality and regulatory requirements.
• Deliver educational presentations on documentation, coding, regulatory updates and best practices.
• Produce clear, actionable audit findings and educational feedback that support CDI staff development and program improvement What You Need to Succeed: 5+ years of CDI experience and/or auditing.
• We are committed to building a diverse team of Datavanters who are all responsible for stewarding a high-performance culture in which all Datavanters belong and thrive.
• Individual rates for the same job title may differ based on their level, responsibilities, skills, and experience for a specific job.

Required Skills and Qualifications

• Produce clear, actionable audit findings and educational feedback that support CDI staff development and program improvement What You Need to Succeed: 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.
• Ability to function in a professional, efficient, and positive manner Strong organizational, teamwork and communication skills.
• Individual rates for the same job title may differ based on their level, responsibilities, skills, and experience for a specific job.

Work Location and Schedule

This role is listed as Remote USA with location information shown as Remote USA. The employment type is Part Time.

About the Company

Datavant is the organization connected with this listing. USA Jobs Today displays this opportunity for job discovery only, so applicants should verify company details, application instructions, and eligibility on the official employer website.