CDQI Audit Specialist
Core
Evaluate the quality, accuracy, and compliance of Clinical Documentation Improvement (CDI) reviews to ensure accurate capture of severity indicators (SOI, ROM, CC/MCC, HCC) and support revenue integrity.
Role type
Mid-level Clinical Documentation Quality Improvement (CDQI) Audit Specialist
Builds
CDI program performance, audit documentation, and staff education plans
Domain
Healthcare administration + Clinical Documentation Improvement (CDI)
Required skills
CDI auditing, retrospective/concurrent audit execution, regulatory compliance (HIPAA), physician collaboration, EMR navigation, data analysis, staff mentoring, educational presentation delivery
Preferred skills
Academic medical center experience, RN/BSN background, CCDS or CDIP certification, proficiency in Epic/Cerner/Iodine
Technologies
Epic, Cerner, 3M, Iodine
Responsibilities
Conduct retrospective and concurrent audits of CDQI Specialists' work; Review missed opportunities impacting reimbursement and quality reporting; Evaluate staff adherence to workflows and policies; Provide individualized feedback and develop education plans; Participate in onboarding and mentoring new staff; Monitor program performance indicators (query rates, accuracy scores, case mix index impact); Maintain confidentiality of protected health information (PHI)
Seniority
Mid-level, hands-on IC
