CDQI Audit Specialist

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. Conduct retrospective and concurrent audits of CDIQ Specialists’ work for documentation accuracy, compliant query generation, and appropriate capture of SOI, ROM, CC/MCC, and HCC .

Posted 9/29/2026part-timeRemote • United StatesMid-LevelSenior💰 $50 - $58 per hourWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates extensive expertise in Clinical Documentation Improvement (CDI) and auditing, with a strong focus on documentation accuracy, compliance, and reimbursement strategies. Proficient in utilizing various EMRs and CDI software to enhance patient outcomes and ensure adherence to regulatory standards.

Highest-signal resume keywords

CDI ExperienceAuditing SkillsRN or BSN with CCDS or CDIP CertificationExperience with Epic, Cerner, 3M, and IodineStrong Organizational and Communication Skills

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Clinical Documentation ImprovementAuditingDocumentation AccuracyQuery GenerationReimbursement StrategiesCompliance with HIPAAPerformance MonitoringEducational PresentationsFeedback DevelopmentOnboarding and Mentoring

Soft Skills

ProfessionalismTeamworkPositive Attitude

Tools & Technologies

EpicCerner3MIodine

Certifications & Qualifications

RNBSNCCDSCDIP

Industry Keywords

Clinical SeverityDRG-based PayerAudit DocumentationQuality ReportingPatient OutcomesPHI SafeguardingOrganizational WorkflowsRegulatory Compliance

About the role

Key responsibilities & impact

Conduct retrospective and concurrent audits of CDIQ Specialists’ work for documentation accuracy, compliant query generation, and appropriate capture of SOI, ROM, CC/MCC, and HCC
Review missed opportunities affecting reimbursement, quality reporting, and patient outcomes
Collaborate with physicians and caregivers regarding reimbursement and clinical severity for DRG-based payer patients
Evaluate adherence to organizational workflows, policies, and industry standards
Maintain audit tools, scoring methodologies, and audit documentation
Provide individualized feedback 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 the Physician Advisor regarding documentation opportunities and trends
Monitor program performance indicators, including query rates, response rates, agreement rates, accuracy scores, case mix index impact, and CC/MCC capture rates
Safeguard PHI, medical records, audit documentation, and company data in compliance with HIPAA and regulatory requirements
Complete assigned audits within designated timeframes and produce actionable audit findings and educational feedback

Requirements

What you’ll need

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, and Iodine
Ability to function in a professional, efficient, and positive manner
Strong organizational, teamwork, and communication skills
Must be able to work in the United States
This job is not eligible for employment sponsorship

Benefits

Comp & perks

Total rewards strategy
Post-offer health screenings and vaccinations as required by clients
Reasonable accommodations for individuals with physical and mental disabilities
Equal employment opportunity protections