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# CDQI Audit Specialist

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[Apply for this job](#job-application)[View company](https://jobicy.com/company/datavant.md)ShareRemote from[USA](https://jobicy.com/job-region/usa.md)SalaryUSD 50–58 / hourDepartment[Healthcare & Medical](https://jobicy.com/categories/healthcare.md)EmploymentPart TimeExperienceSeniorPublished10 Oct 2026Apply before9 Nov 2026Listing views57Application actions4Application toolkit

## Make your next move.

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AI Summary

## The role, at a glance.

This part-time CDQI Audit Specialist role audits clinical documentation improvement work for accuracy, compliant querying, coding alignment, and revenue integrity. The specialist reviews concurrent and retrospective cases, identifies missed documentation opportunities, and provides individualized feedback and education to CDI staff. Responsibilities also include maintaining audit tools, monitoring program metrics such as query and CC/MCC capture rates, and partnering with physicians and a Physician Advisor. Candidates need substantial CDI and clinical experience, RN/BSN credentials, CCDS or CDIP certification, and familiarity with EMR/CDI platforms including Epic, Cerner, 3M, and Iodine. The work requires rigorous HIPAA compliance, objective judgment, and clear communication in a remote healthcare setting.

## Role DNA

A quick view of the complexity, pace, ownership and collaboration implied by the job description.

### Job Complexity

4/5EasyHard

### Pace & Pressure

4/5RelaxedFast-paced

### Autonomy Level

4/5GuidedFull ownership

### Communication Load

5/5IndependentCollaborative

AI insightThe role requires advanced clinical documentation, coding, reimbursement, and regulatory knowledge, supported by significant CDI and academic medical-center experience. Auditors must make consistent, defensible assessments while meeting production targets and delivering actionable education to staff and clinical stakeholders.

## Salary analysis

Estimated compensation compared with the broader US market for similar roles.

Estimated job medianMarket rate$54US market range$45–$650$72

AI insightThe disclosed total cash compensation is $50.00 to $57.50 USD per hour, with a midpoint of $53.75 per hour. For an experienced US-based part-time CDI audit specialist holding RN/BSN and CCDS/CDIP credentials, a reasonable market estimate is approximately $45.00 to $65.00 per hour; actual rates vary by state, healthcare-system complexity, certification depth, and audit scope.

## Core skills

Skills and capabilities most closely associated with this opportunity.

[Clinical Documentation Improvement](https://jobicy.com/jobs?search_keywords=Clinical%20Documentation%20Improvement.md)[CDI Auditing](https://jobicy.com/jobs?search_keywords=CDI%20Auditing.md)[Medical Coding](https://jobicy.com/jobs?search_keywords=Medical%20Coding.md)[DRG Reimbursement](https://jobicy.com/jobs?search_keywords=DRG%20Reimbursement.md)[CC/MCC](https://jobicy.com/jobs?search_keywords=CCMCC.md)[HCC](https://jobicy.com/jobs?search_keywords=HCC.md)[HIPAA Compliance](https://jobicy.com/jobs?search_keywords=HIPAA%20Compliance.md)[Clinical Documentation](https://jobicy.com/jobs?search_keywords=Clinical%20Documentation.md)[EMR Systems](https://jobicy.com/jobs?search_keywords=EMR%20Systems.md)[Healthcare Quality](https://jobicy.com/jobs?search_keywords=Healthcare%20Quality.md)

Sample interview questionsHow do you approach an audit of a CDI specialist's review for documentation quality and query compliance?I use a structured audit tool to assess clinical validation, identification of documentation opportunities, query appropriateness, coding alignment, and adherence to organizational policy. I document objective evidence from the record, score consistently against defined criteria, and provide feedback that distinguishes education opportunities from material compliance concerns.

Describe how you would identify and communicate a missed CC/MCC, HCC, or severity-of-illness opportunity.

I would review the full clinical picture, including provider documentation, diagnostics, treatment, and relevant coding guidelines, to determine whether the condition is clinically supported and reportable. I would then explain the missed opportunity with record-based rationale, applicable guidance, and a practical recommendation for future case review or compliant query consideration.

How do you ensure audit feedback is constructive when a CDI specialist disagrees with your findings?

I keep feedback specific, evidence-based, and tied to established policy or coding and query standards. I invite the specialist to explain their clinical reasoning, review the case together when useful, and focus the conversation on consistent future practice rather than assigning blame.

Which CDI program metrics would you monitor, and how would you use them to improve performance?

I would monitor query volume and response rates, agreement rates, audit accuracy, CC/MCC capture, case-mix-index impact, and recurring audit themes. I would use trends to target education, refine workflow guidance, and measure whether corrective actions improve both quality and consistency over time.

What steps do you take to protect PHI while conducting remote clinical documentation audits?

I access only the minimum necessary information through approved systems, follow secure authentication and storage requirements, and avoid sharing PHI through unapproved channels. I also maintain a private work environment, apply company retention procedures, and promptly report any suspected privacy or security issue.

Opportunity details

## About this role.

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 part-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.

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.

At Datavant our total rewards strategy powers a high-growth, high-performance, health technology company that rewards our employees for transforming health care through creating industry-defining data logistics products and services.

The range posted is for a given job title, which can include multiple levels. Individual rates for the same job title may differ based on their level, responsibilities, skills, and experience for a specific job.

The estimated total cash compensation range for this role is:

$50—$57.50 USD

To ensure the safety of patients and staff, many of our clients require post-offer health screenings and proof and/or completion of various vaccinations such as the flu shot, Tdap, COVID-19, etc. Any requests to be exempted from these requirements will be reviewed by Datavant Human Resources and determined on a case-by-case basis. Depending on the state in which you will be working, exemptions may be available on the basis of disability, medical contraindications to the vaccine or any of its components, pregnancy or pregnancy-related medical conditions, and/or religion.

This job is not eligible for employment sponsorship.

Datavant is committed to a work environment free from job discrimination. 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. To learn more about our commitment, please review our EEO Commitment Statement [here](https://www.datavant.com/eeo-commitment-statement). [Know Your Rights](https://www.eeoc.gov/know-your-rights-workplace-discrimination-illegal), explore the resources available through the EEOC for more information regarding your legal rights and protections. In addition, Datavant does not and will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay.

At the end of this application, you will find a set of voluntary demographic questions. If you choose to respond, your answers will be anonymous and will help us identify areas for improvement in our recruitment process. (We can only see aggregate responses, not individual ones. In fact, we aren’t even able to see whether you’ve responded.) Responding is entirely optional and will not affect your application or hiring process in any way.

Datavant is committed to working with and providing reasonable accommodations to individuals with physical and mental disabilities. If you need an accommodation while seeking employment, please request it [here,](https://peopleteam.datavant.com/portal/en/newticket?departmentId=248697000248790029&layoutId=248697000248795462) by selecting the ‘Interview Accommodation Request’ category. You will need your requisition ID when submitting your request, you can find instructions for locating it [here](https://app.tango.us/app/workflow/Greenhouse--Locating-Requisition-ID-2c7d618c8a8a423da4330ff12330695e). Requests for reasonable accommodations will be reviewed on a case-by-case basis.

For more information about how we collect and use your data, please review our [Privacy Policy](https://www.datavant.com/privacy-policy).

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