WASHOE BARTON MEDICAL CLINIC
QA/Risk Clinical Analyst II - Part Time
WASHOE BARTON MEDICAL CLINIC, Gardnerville, Nevada, United States, 89410
QA/Risk Clinical Analyst II - Part Time
POSITION SUMMARY:
Under indirect supervision, audits medical charts and records for compliance with federal and state regulations and guidelines as well as CVH policies regarding clinical documentation standards. Reviews, develops, and/or modifies procedures, systems, and protocols to achieve and maintain compatibility with requirements and compliance standards. Collects, organizes and analyzes data for organizational use. Meets with employees, physicians, and leadership to review data collected and make process or quality improvements.
POSITION REQUIREMENTS:
Minimum Education High School Diploma or equivalent Associates degree in Nursing required, Bachelors degree preferred License Required
Registered Nurse or medical provider licensure Minimum Professional Skills
Moderate proficiency with computer programs such as Microsoft Excel, Microsoft word, Outlook, etc. Minimum typing rate of 40 words per minute Comfortable and knowledgeable with computer systems, Electronic Medical Records, and coding applications Ability to read and communicate in English Minimum Work Experience
Good communication and multi-tasking skills Minimum of 3 years clinical experience with patient care preferred Knowledge of medical terminology, anatomy and physiology Knowledge of Medical and Nursing standards of care and documentation POSITION ESSENTIAL FUNCTIONS:
Provides second-level review of charge capture to ensure compliance with legal and procedural policies and to ensure optimal reimbursements while adhering to regulations Interacts with nurses, physicians and other employees regarding billing and documentation policies, procedures, and regulations; obtains clarification of conflicting, ambiguous, or non-specific documentation Interacts with providers and management to review and/or implement codes and to update charge documents Ensures strict confidentiality of records Performs clinical chart reviews on both open and closed charts for compliance with CVH policies, federal and state regulations, and best practice guidelines. Gathers data for clinical department quality metrics and other quality indicators. Assists with infection control data collection. Collects, interprets, analyzes, presents, and distributes various data results to a variety of clinical and administrative staff. Attends and participates in committee meetings and other meetings as needed and assists with tracking quality outcomes and measures. Concurrently monitors compliance with Core Measures and provides immediate feedback to applicable staff if core measure elements are out of compliance or inadequate. Works directly with Core Measures data abstraction vendor and submits/reports core measures that are not abstracted by a vendor. Reviews vendor data abstraction for accuracy. Reports core measures or other data in a timely manner to required agencies in compliance with reporting deadlines and regulations. Reviews, audits, researches patient records for Quality, Infection Control, or Patient Safety, Risk, Compliance, or other issues and compares to applicable criteria as needed (NHSN, Sentinel Event Registry, etc.). Competence with navigating the Electronic Health Record and educates other staff on proper documentation techniques. May also serve as an EPIC educator for back-up to the EPIC department if properly credentialed. Gathers data for various functions as needed; such as: organizational statistics, Ongoing Professional Performance Evaluation, etc. BENEFITS: If you are scheduled to work part-time at least 20 hours per week and full-time at least 32 hours per week, you are eligible for benefits on the first day of the month following 30 days of employment.
NO STATE INCOME TAX Hometown Health Medical, EyeMed Vision, Guardian Dental and Flexible Spending Account. Vanguard 401(k) with match. Employer paid Care Flight Membership for your household (full-time employees) (A Division of REMSA). Employer Paid Basic Life and AD&D insurance. Unum Supplemental Insurance (Critical Illness, Accident, Short Term & Long Term Disability). Earned Time Off, Sick Leave and Paid Holidays. Nevada 529 College Fund. Unum Employee Assistance Program. Employer paid Credit monitoring and Identity Theft Program through CyberScout. Tuition Reimbursement, Clinical Ladder* & HRSA Loan Repayment Program* (*for qualifying positions). Priority Childcare Enrollment with the Boys and Girls Club of Western NV for ages 9 months+. Paid Volunteer Hours for staff to help in the community. and More...
CARSON VALLEY HEALTH IS PROUD TO BE RECOGNIZED AS A FINALIST IN THE
"BEST PLACES TO WORK" - NORTHERN NEVADA, 2021, 2022, 2024 & 2025!
WE LOOK FORWARD TO WELCOMING YOU TO OUR TEAM!!
Tuesdays and Wednesdays; 0730 - 1800
POSITION SUMMARY:
Under indirect supervision, audits medical charts and records for compliance with federal and state regulations and guidelines as well as CVH policies regarding clinical documentation standards. Reviews, develops, and/or modifies procedures, systems, and protocols to achieve and maintain compatibility with requirements and compliance standards. Collects, organizes and analyzes data for organizational use. Meets with employees, physicians, and leadership to review data collected and make process or quality improvements.
POSITION REQUIREMENTS:
Minimum Education High School Diploma or equivalent Associates degree in Nursing required, Bachelors degree preferred License Required
Registered Nurse or medical provider licensure Minimum Professional Skills
Moderate proficiency with computer programs such as Microsoft Excel, Microsoft word, Outlook, etc. Minimum typing rate of 40 words per minute Comfortable and knowledgeable with computer systems, Electronic Medical Records, and coding applications Ability to read and communicate in English Minimum Work Experience
Good communication and multi-tasking skills Minimum of 3 years clinical experience with patient care preferred Knowledge of medical terminology, anatomy and physiology Knowledge of Medical and Nursing standards of care and documentation POSITION ESSENTIAL FUNCTIONS:
Provides second-level review of charge capture to ensure compliance with legal and procedural policies and to ensure optimal reimbursements while adhering to regulations Interacts with nurses, physicians and other employees regarding billing and documentation policies, procedures, and regulations; obtains clarification of conflicting, ambiguous, or non-specific documentation Interacts with providers and management to review and/or implement codes and to update charge documents Ensures strict confidentiality of records Performs clinical chart reviews on both open and closed charts for compliance with CVH policies, federal and state regulations, and best practice guidelines. Gathers data for clinical department quality metrics and other quality indicators. Assists with infection control data collection. Collects, interprets, analyzes, presents, and distributes various data results to a variety of clinical and administrative staff. Attends and participates in committee meetings and other meetings as needed and assists with tracking quality outcomes and measures. Concurrently monitors compliance with Core Measures and provides immediate feedback to applicable staff if core measure elements are out of compliance or inadequate. Works directly with Core Measures data abstraction vendor and submits/reports core measures that are not abstracted by a vendor. Reviews vendor data abstraction for accuracy. Reports core measures or other data in a timely manner to required agencies in compliance with reporting deadlines and regulations. Reviews, audits, researches patient records for Quality, Infection Control, or Patient Safety, Risk, Compliance, or other issues and compares to applicable criteria as needed (NHSN, Sentinel Event Registry, etc.). Competence with navigating the Electronic Health Record and educates other staff on proper documentation techniques. May also serve as an EPIC educator for back-up to the EPIC department if properly credentialed. Gathers data for various functions as needed; such as: organizational statistics, Ongoing Professional Performance Evaluation, etc. BENEFITS: If you are scheduled to work part-time at least 20 hours per week and full-time at least 32 hours per week, you are eligible for benefits on the first day of the month following 30 days of employment.
NO STATE INCOME TAX Hometown Health Medical, EyeMed Vision, Guardian Dental and Flexible Spending Account. Vanguard 401(k) with match. Employer paid Care Flight Membership for your household (full-time employees) (A Division of REMSA). Employer Paid Basic Life and AD&D insurance. Unum Supplemental Insurance (Critical Illness, Accident, Short Term & Long Term Disability). Earned Time Off, Sick Leave and Paid Holidays. Nevada 529 College Fund. Unum Employee Assistance Program. Employer paid Credit monitoring and Identity Theft Program through CyberScout. Tuition Reimbursement, Clinical Ladder* & HRSA Loan Repayment Program* (*for qualifying positions). Priority Childcare Enrollment with the Boys and Girls Club of Western NV for ages 9 months+. Paid Volunteer Hours for staff to help in the community. and More...
CARSON VALLEY HEALTH IS PROUD TO BE RECOGNIZED AS A FINALIST IN THE
"BEST PLACES TO WORK" - NORTHERN NEVADA, 2021, 2022, 2024 & 2025!
WE LOOK FORWARD TO WELCOMING YOU TO OUR TEAM!!
Tuesdays and Wednesdays; 0730 - 1800