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Datavant
Datavant
201 – 500 Employees
H1B Visa SponsorConsultingHealthcareHealthcare Insurance
Datavant develops health data connectivity and interoperability solutions that help organizations securely exchange, transform, and use healthcare information. Its platform and network connect hospitals, clinics, health systems, health plans, life sciences companies, government organizations, and other data partners, supporting workflows that depend on accessible records, privacy compliance, and reliable analytics. Founded in 2017, Datavant operates at the intersection of healthcare technology, healthcare insurance, and consulting, with a focus on improving how data moves across the healthcare ecosystem to advance human health.
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Clinical Documentation Integrity Audit Specialist - Remote, United States

Audit clinical documentation integrity work for compliance, accuracy, reimbursement, and quality outcomes. Support feedback, education, performance monitoring, and documentation improvement for Datavant’s healthcare data platform.

USUnited States
$50 – $57 / hour
RemoteFull-timeMiddleSeniorEnglish RequiredGeneral

Description

  • Audit CDQI Specialists’ retrospective and concurrent work for accurate documentation review, compliant queries, and correct SOI, ROM, CC/MCC, and HCC capture.
  • Identify missed documentation opportunities that may affect reimbursement, quality reporting, and patient outcomes.
  • Partner with physicians and caregivers to support appropriate reimbursement and clinical severity for DRG-based payer patients.
  • Assess compliance with organizational workflows, policies, and applicable industry standards.
  • Maintain audit tools, scoring methods, and supporting audit records.
  • Deliver individualized feedback and create education plans informed by audit results.
  • Support onboarding and mentor newly hired CDQI staff.
  • Present training on documentation, coding, regulatory changes, and established best practices.
  • Work with the Physician Advisor to identify documentation opportunities and monitor related trends.
  • Track program metrics such as query, response, agreement, and accuracy rates, as well as case mix index impact and CC/MCC capture.
  • Protect PHI, medical records, audit materials, and company data in accordance with HIPAA and applicable standards.
  • Complete assigned audits on schedule and provide actionable findings with targeted educational feedback.

Requirements

  • At least five years of CDI experience and/or auditing experience.
  • At least three years of clinical experience in an academic medical center.
  • RN or BSN qualification with CCDS or CDIP certification.
  • Successful completion of the CDI skills competency assessment.
  • Experience using multiple EMRs and CDI platforms, including Epic, Cerner, 3M, and Iodine.
  • Professional, efficient, and positive approach to work.
  • Strong organizational, teamwork, and communication abilities.
  • Must be based in the United States.
  • This position is not eligible for employment sponsorship.

Benefits

  • Comprehensive medical, dental, and vision insurance.
  • 401(k) savings plan with employer match.
  • Paid time off plan.
  • Floating holidays and paid holidays.
  • Flexible work arrangements.
  • Career growth and development opportunities.

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