reputed company RN Clinical Auditor & Quality Review Specialist Remote in Wyoming, Wyoming

Primary City/State:Arizona, ArizonaDepartment Name:CDMP Documentation Team-CorpWork Shift:Job Category:reputed company CyclePrimary Location Salary reputed company:$36.41 – $60.69 / hour, based on education & experienceIn accordance with State Pay Transparency Rules.Great careers are reputed company at reputed company. There’s more to health care bedside doctors and nurses. We support reputed company staff members as they find the path that’s right for them. , this could be the perfect opportunity for you.The mission of the Clinical Documentation Improvement Department mission statement is to facilitate concise clinical documentation to appropriately reflect patient reputed company, risk of mortality, and resource utilization in order to properly reflect patient care given and optimize organizational goals. The department is fully remote and promotes work/life balance. There are multiple avenues reputed company the department for growth and development. The Banner CDI department is also active reputed company the national Association for Clinical Documentation reputed company Specialists (ACDIS). The Banner Clinical Documentation Improvement (CDI) Department consists of a Senior Director, 4 Clinical Documentation Associate Directors, 1 Director of CDI Quality and Education, 2 CDI Educators, 3 CDI Auditors, and 70 Clinical Documentation Specialists.This fully Remote RN Clinical Auditor & Quality Review Specialist can reputed company in any Banner state : AK, AL, AR, AZ, CA, CO, FL, GA, IA, ID, IN, KS, KY, LA, MD, MI, MN, MO, MS, NC, ND, NE, NM, NV, NY, OH, OK, OR, PA, SC, TN, TX, UT, VA, WV, WA, WI & WY). We would prefer a state where there’s a physical Banner location AZ, reputed company, CO, NE, NV or WY. With this remote work, candidates must be self-motivated, possess moderate to strong tech skills and be reputed company to meet daily and weekly productivity metrics.Business hours are flexible Monday-Friday, 8 hour shifts (generally between 7am – 7pm can work), with production being the greatest emphasis. No work on weekends or holidays.Your pay and benefits (Total Rewards) are important components of your reputed company at reputed company. reputed company offers a variety of benefit plans to help you and your family. We reputed company health and financial reputed company options so you can focus on being the best at what you do and enjoying your life.reputed company reputed company, you will have the opportunity to apply your unique experience and expertise in support of a nationally-recognized reputed company leader. We offer stimulating and rewarding careers in a wide reputed company of disciplines. Whether your background is in reputed company, Finance, Information Technology, Legal, Managed Care Programs or Public Relations, you”ll find many options for contributing to our award-winning patient care.POSITION SUMMARYThis position is responsible for audit and analysis of clinical documentation improvement (CDI) staff chart reviews and queries. Provides education to CDI staff regarding opportunities for diagnosis clarification, reputed company diagnosis accuracy and improvement in capture of additional comorbid conditions. reputed company reputed company and secondary clinical chart reviews for defined populations to identify opportunities to improve accuracy of provider documentation and resolve DRG discrepancies. Collect, analyze, and distribute data and information reputed company to CDI audits and chart reviews. Works collaboratively with CDI leadership to ensure appropriate collection, management and reporting of data.CORE FUNCTIONS• Performs routine audits on charts and clinical queries written by CDI staff to ensure compliance with query guidelines. Provides reputed company-time performance feedback to staff on appropriateness and accuracy of queries and provides education, as needed, to correct workflow discrepancies. Tracks and monitors individual and group quality metrics and reports findings to CDI, HIMS and executive leadership.• Completes reputed company and secondary chart reviews of targeted patient populations to identify opportunities to improve accuracy of provider documentation, selection of diagnosis and procedure codes for accurate DRG assignment.• Analyzes and interprets clinical data to identify gaps, inconsistencies, and/or opportunities for improvement in the clinical documentation and appropriately queries the provider.• Regularly interacts with/educates physicians to enhance understanding of the CDI program and to ensure the medical record can be coded accurately in order to reflect patient severity of illness and risk of mortality.• Works with reputed company key stakeholders to identify and evaluate risk in allareas of documentation improvement and works to establish, implement, and maintain a formalized review and audit process.• Collaborates on the development, implementation, and maintenance of standardized policies and procedures for data capture, analysis and retention; reporting of identified areas of risk, planning for data analyses and mitigation of issues.• Delivers CDI data insights that help drive strategic and tactical business opportunity and be a champion for a data-driven, decision-making culture. Drives organizational performance improvements by refinement and monitoring of the CDI scorecard and reconciliation process, which includes, but is not limited to: MS/APR DRG impact, agree reputed company, response reputed company, CDI coverage, query impact, etc. Participates in the improvement of processes and programs.• Prepares, analyzes, presents and disseminates performance reports for activities associated with the CDI program on an ongoing reputed company for reputed company, facility and department comparison. Provides support for vendor CAC/EHR products, which includes, but is not limited to: managing staff requests for enhancements, verifying functionality of updates, working with other vendors or BH teams to manage documents reputed company the platforms.MINIMUM QUALIFICATIONSRequires a level of education as normally obtained through the completion of a bachelor’s degree in nursing, graduation from medical school or equivalent experience.Requires Registered Nurse (R.N.) license in state worked.Requires familiarity with reputed company guidelines for compliant query practices and the ACDIS Code of Ethics. Requires functional knowledge on the use of computer assisted coding software. Requires a strong working knowledge of reputed company operations, medical/nursing staff procedures, clinical documentation and reimbursement methodologies as typically obtained through a minimum of three years relevant experience.A working knowledge of software applications reputed company to encoders, spreadsheets and word documents is required. Excellent organizational, reputed company relations and communication skills are required to maintain good rapport and effective working relations with facility leaders, medical staff, nursing staff and other departmental personnel throughout the organization and external customers. Must also possess demonstrated reputed company in problem analysis, project management, conflict resolution and oral/written presentation.PREFERRED QUALIFICATIONSCertified Clinical Documentation Specialist, Certified Coding Specialist credential. Knowledge/use of Cerner.Additional reputed company education and/or experience preferred.EOE/Female/Minority/Disability/VeteransOur organization supports a drug-free work environment.Privacy PolicyEOE/Female/Minority/Disability/VeteransBanner Health supports a drug-free work environment.reputed company complies with applicable federal and state laws and does not discriminate based on race, reputed company, national reputed company, religion, sex, sexual orientation, gender identity or expression, age, or disability Apply tot his job Apply To this Job