AdventHealth
Regulatory Quality Improvement Coordinator RN Hospice
AdventHealth, Florida, New York, United States
Regulatory Quality Improvement Coordinator RN Hospice
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Regulatory Quality Improvement Coordinator RN Hospice
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AdventHealth
Benefits from Day One: Medical, Dental, Vision Insurance, Life Insurance, Disability Insurance
Paid Time Off from Day One
403-B Retirement Plan
4 Weeks 100% Paid Parental Leave
Career Development
Whole Person Well-being Resources
Mental Health Resources and Support
Pet Benefits
Schedule Full time
Shift Day (United States of America)
Location 480 W CENTRAL PKWY, ALTAMONTE SPRINGS, Florida 32714
Coordinates all phases of record request processing, including ADRs, RAC requests, and Medicaid audits. Develops and implements procedures and processes for record request management. Instructs medical, clinical, and administrative staff in record request audit and processing procedures. Coordinates with other departments to ensure adequate staff resources for timely audit and processing activities. Establishes needs and communicates these needs to department managers or directors. Prioritizes record processing to ensure submission deadlines are met. Coordinates all levels of appeals processes for denied claims. Coordinates with the Quality Service and Risk Coordinator to maintain tracking database integrity and provide reports to other departments. Coordinates all communications with regulatory agencies. Identifies employee educational needs related to regulatory scrutiny. Partners with the Education Department to develop and provide education related to regulatory scrutiny. Collects and analyzes data for application to the Quality Assessment and Performance Improvement (QAPI) process. Identifies performance improvement opportunities in clinical documentation related to regulatory scrutiny. Other duties as assigned.
Qualification Requirements Bachelor's (Required)
Certified Hospice and Palliative Nurse (CHPN) – EV Accredited Issuing Body, Registered Nurse (RN) – EV Accredited Issuing Body
Pay Range $49,718.59 - $92,468.74
This facility is an equal opportunity employer and complies with federal, state and local anti-discrimination laws, regulations and ordinances.
Senior level Not Applicable
Employment type Full-time
Job function Other
Industries Hospitals and Health Care
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Regulatory Quality Improvement Coordinator RN Hospice
role at
AdventHealth
Benefits from Day One: Medical, Dental, Vision Insurance, Life Insurance, Disability Insurance
Paid Time Off from Day One
403-B Retirement Plan
4 Weeks 100% Paid Parental Leave
Career Development
Whole Person Well-being Resources
Mental Health Resources and Support
Pet Benefits
Schedule Full time
Shift Day (United States of America)
Location 480 W CENTRAL PKWY, ALTAMONTE SPRINGS, Florida 32714
Coordinates all phases of record request processing, including ADRs, RAC requests, and Medicaid audits. Develops and implements procedures and processes for record request management. Instructs medical, clinical, and administrative staff in record request audit and processing procedures. Coordinates with other departments to ensure adequate staff resources for timely audit and processing activities. Establishes needs and communicates these needs to department managers or directors. Prioritizes record processing to ensure submission deadlines are met. Coordinates all levels of appeals processes for denied claims. Coordinates with the Quality Service and Risk Coordinator to maintain tracking database integrity and provide reports to other departments. Coordinates all communications with regulatory agencies. Identifies employee educational needs related to regulatory scrutiny. Partners with the Education Department to develop and provide education related to regulatory scrutiny. Collects and analyzes data for application to the Quality Assessment and Performance Improvement (QAPI) process. Identifies performance improvement opportunities in clinical documentation related to regulatory scrutiny. Other duties as assigned.
Qualification Requirements Bachelor's (Required)
Certified Hospice and Palliative Nurse (CHPN) – EV Accredited Issuing Body, Registered Nurse (RN) – EV Accredited Issuing Body
Pay Range $49,718.59 - $92,468.74
This facility is an equal opportunity employer and complies with federal, state and local anti-discrimination laws, regulations and ordinances.
Senior level Not Applicable
Employment type Full-time
Job function Other
Industries Hospitals and Health Care
#J-18808-Ljbffr