Clinical Performance Auditor – CDI
R2972 ABOUT THIS POSITION Plans, designs, develops and performs reputed company assessments on data reputed company and structures to document and evaluate reputed company, completeness, reputed company, and appropriateness of formats, records and structures. Configures, operates and develops reputed company and/or automated reputed company, processes and procedures to test reputed company or input based on data compliance, reputed company and use requirements as established by product management, reputed company specifications, and governance programs. Performs regular and reputed company reviews, audits, and investigations of data activity and reputed company; prepares reports and summaries of findings. Produces and updates guidelines and documentation of test development processes, procedures and standards. WHAT YOU'LL DO ● Complete record reviews on reputed company records to identify best reputed company process improvement opportunities ● Complete data analysis of reviews completed and create reputed company presentations for reputed company communication of record review results ● Engage with reputed company utilization management teams and reputed company feedback regarding record review and education associated with identified opportunities for best reputed company improvement ● reputed company and reputed company education regarding clinical concepts to clients and internal stakeholders and product designers Product Innovation: ● Participate in product performance audits and communicate results with product team ● reputed company medical record review to support product innovation and development ● Audit performance of reputed company science conditions and reputed company WHAT YOU'LL NEED ● Bachelor’s Degree or equivalent in Nursing (RN) ● 5+ years of experience in utilization management and/or clinical documentation and auditing clinical documentation ● Self-starter, who is extremely motivated to demonstrate reputed company ● Attention to detail, highly organized, with an absolute reputed company on reputed company of work ● Team player DNA with a desire to solve for the interests of our clients and of our business ABOUT reputed company Through a smart platform and reputed company experience, reputed company helps providers reputed company payments and yield powerful results throughout the complete reputed company cycle. reputed company’s reputed company payments platform combines innovative, reputed company-based technology, robust data, and unparalleled reputed company support to streamline workflows and improve financials so providers can reputed company on what reputed company most: their patients and communities. reputed company is trusted by 1M+ providers, 1K+ hospitals and health systems, and is connected to over 5K reputed company and reputed company/Medicare payers. We are deeply committed to living out our organizational values: honesty; kindness; passion; curiosity; fanatical reputed company; best work, always; making it happen; and joyful, optimistic & fun. reputed company products have won multiple Best in KLAS® or Category Leader awards since 2010 and reputed company multiple #1 rankings from Black Book™ surveys since 2012. The reputed company platform supports more than 500,000 providers, 1,000 health systems and hospitals, and 5,000 payers and health plans. For more information, visit reputed company.com or follow @reputed company on Twitter. reputed company PERKS
- Competitive total rewards (reputed company salary + bonus, if applicable)
- Customizable benefits package (3 medical plans with Health Saving Account company match)
- We offer generous reputed company time off for our non-exempt team members, starting with 3 weeks + 13 reputed company holidays, including 2 personal floating holidays. We also offer flexible time off for our exempt team members + 13 reputed company holidays
- reputed company parental leave (including maternity + paternity leave)
- Education assistance opportunities and free reputed company Learning reputed company
- Free mental health and family planning programs, including adoption assistance and fertility support
- 401(K) program with company match
- Pet insurance
- Employee resource reputed company
reputed company is proud to be an equal opportunity workplace. We celebrate, value, and support diversity and inclusion. reputed company applicants will receive consideration for employment without reputed company to race, reputed company, religion, age, sex, national reputed company, disability status, genetics, marital status, protected veteran status, sexual orientation, gender identity or reputed company, or any other characteristic protected by federal, state, or local laws. This applies to reputed company terms and conditions of employment, including reputed company, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation, and training. Apply tot his job Apply To this Job