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DatavantCDQI Audit Specialist
Datavant operates a data collaboration platform for healthcare, supporting providers, insurers, researchers and life sciences firms. Its work ranges from handling a single patient's records request…
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About This Role
Datavant operates a data collaboration platform for healthcare, supporting providers, insurers, researchers and life sciences firms. Its work ranges from handling a single patient's records request to supporting AI projects in healthcare. This part-time CDQI Audit Specialist role checks the quality, accuracy and compliance of clinical documentation improvement (CDI) reviews and spots chances for education, process gains and revenue integrity. The posting does not specify a work location. The auditor…
Job Description
Datavant operates a data collaboration platform for healthcare, supporting providers, insurers, researchers and life sciences firms. Its work ranges from handling a single patient's records request to supporting AI projects in healthcare. This part-time CDQI Audit Specialist role checks the quality, accuracy and compliance of clinical documentation improvement (CDI) reviews and spots chances for education, process gains and revenue integrity. The posting does not specify a work location.
The auditor reviews CDI specialists' work both after the fact and while cases are open, checking that queries are compliant and that key data such as severity of illness, risk of mortality, CC and MCC, and HCC is captured accurately and consistent with coding rules. The auditor identifies missed items that could affect reimbursement, quality reporting or patient outcomes, and works with physicians and caregivers on documentation for DRG-based payers. The role gives individual feedback, designs education plans, helps train new staff, presents on documentation and regulatory updates, and tracks program measures such as query rates, agreement rates and accuracy scores. The auditor keeps tools and reports current and protects health information under HIPAA.
The posting asks for at least five years of CDI and/or audit experience and three years of clinical work in an academic medical center. Applicants should hold an RN or BSN plus CCDS or CDIP credentials and pass a CDI competency test. Experience with EMR and CDI platforms such as Epic, Cerner, 3M and Iodine is required. The posting lists an estimated total cash compensation of $50 to $57.50 USD without naming the pay period. This position does not qualify for visa sponsorship.
Responsibilities
- Audit CDI specialists' work, both retrospectively and while cases are open
- Check that queries are compliant and documentation is accurate
- Review missed opportunities that affect reimbursement, quality reporting and outcomes
- Work with physicians and caregivers on documentation for DRG-based payer patients
- Assess staff adherence to workflows, policies and industry standards
- Maintain audit tools, scoring methods and documentation
- Give individual feedback and build education plans from audit findings
- Help onboard and mentor new CDI staff
- Present education on documentation, coding and regulatory updates
- Track program indicators such as query rates, accuracy scores and CC/MCC capture
- Protect PHI and follow HIPAA and privacy standards
Requirements
- At least five years of CDI and/or auditing experience
- Three-plus years of clinical work at an academic medical center
- RN or BSN, plus a CCDS or CDIP credential
- Passing result on the CDI skills competency assessment
- Experience with EMR and CDI software such as Epic, Cerner, 3M and Iodine
- Professional, efficient and positive working style
- Strong organization, teamwork and communication skills
Qualifications
- Experience with audit scoring and quality review
- Experience developing education for clinical documentation staff
Core Skills
Frequently Asked Questions
Answers are based only on the employer’s listing; where it doesn’t say, neither do we.
Is this CDQI Audit Specialist role part-time?
Yes. The posting states that the role is part-time.
Where is the job located?
The posting does not specify a work location.
What certifications are required?
The posting requires an RN or BSN and a CCDS or CDIP credential, and candidates must pass a CDI skills competency assessment.
Is visa sponsorship available?
No. The posting says the role does not qualify for sponsorship.
Sample Interview Questions
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