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. 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.

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

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. 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 full-time.

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.
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.
Maintain audit tools, scoring methodologies, and audit documentation
Provide individualized feedback to CDQI Specialists and develop education plans based on audit findings.
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, accuracy scores, case mix index impact and CC/MCC capture rates.
Maintain confidentiality and safeguard protected health information (PHI), medical records, audit documentation, and company data in compliance with HIPAA, organizational policies, and regulatory requirements. Adhere to established privacy, security, and information governance standards when accessing, reviewing, storing, and communicating sensitive information.
Meet or exceed established production, quality, and performance metrics by completing assigned audits within designated timeframes and maintaining high standards of accuracy, consistency, and objectivity. 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.

What We Offer

Benefits for Full-Time employees include comprehensive health, dental, and vision insurance. 401k Savings plan with match.
Paid time off (PTO) plan, plus floating holidays and paid holidays.
Flexible work arrangements
Opportunities for career growth and development

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. We are proud to be an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, sex, sexual orientation, gender identity, religion, national origin, disability, veteran status, or other legally protected status.