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 compliance
Identify missed opportunities affecting reimbursement, quality reporting, and patient outcomes
Collaborate with physicians and care teams to ensure appropriate clinical severity and reimbursement
Evaluate adherence to workflows, policies, and industry standards
Maintain audit tools and documentation
Deliver individualized feedback and develop education plans for CDI staff
Support onboarding and mentoring of new CDI staff
Present educational sessions on documentation, coding, and regulatory updates
Collaborate with Physician Advisor on documentation trends
Monitor program performance metrics including query and accuracy rates
Safeguard protected health information in compliance with HIPAA and organizational policies
Meet production and quality targets by completing audits accurately and timely
Requirements:
Minimum 5 years of experience in CDI and/or auditing
At least 3 years clinical experience in an academic medical center
RN or BSN with CCDS or CDIP certification
Successful completion of CDI skills competency assessment
Experience with EMRs and CDI software such as Epic, Cerner, 3M, Iodine
Professional, efficient, and positive work approach
Strong 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 insurance
401(k) savings plan with matching contributions
Paid time off including PTO, floating holidays, and paid holidays
Flexible work arrangements
Opportunities 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.

Work arrangement
Yes