CDQI Audit Specialist

This is a Fully Remote Job About Our Client:The organization operates in the healthcare data collaboration sector, addressing challenges related to securely sharing and utilizing health data across providers, health plans, researchers, and life sciences companies. It offers critical data solutions that enhance accessibility and actionability of health information, supporting activities from individual patient records requests to advancing AI applications in healthcare. About the Opportunity:The CDQI AUDIT SPECIALIST role is focused on ensuring the quality, accuracy, and compliance of clinical documentation improvement (CDI) reviews. This position contributes directly to patient care quality by auditing clinical documentation, identifying process improvements, providing feedback and education to CDI specialists, and supporting continuous enhancement of documentation practices and revenue integrity. Responsibilities:Perform retrospective and concurrent audits of CDI specialists' documentation reviews for accuracy and complianceIdentify missed opportunities affecting reimbursement, quality reporting, and patient outcomesCollaborate with physicians and care teams to ensure appropriate clinical severity and reimbursementEvaluate adherence to workflows, policies, and industry standardsMaintain audit tools and documentationDeliver individualized feedback and develop education plans for CDI staffSupport onboarding and mentoring of new CDI staffPresent educational sessions on documentation, coding, and regulatory updatesCollaborate with Physician Advisor on documentation trendsMonitor program performance metrics including query and accuracy ratesSafeguard protected health information in compliance with HIPAA and organizational policiesMeet production and quality targets by completing audits accurately and timely Requirements:Minimum 5 years of experience in CDI and/or auditingAt least 3 years clinical experience in an academic medical centerRN or BSN with CCDS or CDIP certificationSuccessful completion of CDI skills competency assessmentExperience with EMRs and CDI software such as Epic, Cerner, 3M, IodineProfessional, efficient, and positive work approachStrong organizational, teamwork, and communication skills Pay Range and Compensation Package:The estimated total cash compensation range for this role is 50 to 57.50 USD per hour Benefits & Perks:Comprehensive health, dental, and vision insurance401(k) savings plan with matching contributionsPaid time off including PTO, floating holidays, and paid holidaysFlexible work arrangementsOpportunities for career growth and development Equal Opportunity Statement: Our client is an equal opportunity employer. They celebrate diversity and are committed to creating an inclusive environment for all employees. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, gender identity or expression, sexual orientation, or national origin. Note:TalentHop is a recruitment partner of this role. Please note that all employment decisions, including candidate assessment, interviews, hiring, compensation, and employment terms, are made exclusively by the hiring employer.