Employer Industry: Healthcare Services

Why Consider this Job Opportunity:
- Salary up to $[highest pay]
- Opportunity for career advancement and growth within the organization
- Work remotely within the US
- Periodic travel to the employer's Headquarters and assigned markets
- Supportive and collaborative work culture
- Comprehensive benefits package, including health, dental, and vision insurance, flexible work schedules, paid time off, parental leave, and more

What to Expect (Job Responsibilities):
- Lead clinical documentation and coding quality assurance initiatives & program development
- Ensure compliance with third party and State and Federal regulations
- Deliver progress reports to leadership regarding CD Quality program initiatives
- Serve as a Subject Matter expert for regulatory compliance, clinical documentation, coding, and billing
- Perform audits to assure accuracy, recommend education and training, and provide input to staff performance evaluations

What is Required (Qualifications):
- Active nursing credential as Registered Nurse (RN)
- Bachelor's degree in Health Information Management or related healthcare field (10 years of experience in lieu of the degree)
- 2 years of experience in Risk Adjustment
- Exceptional verbal and written communication skills
- Proficiency in Google Suite tools

How to Stand Out (Preferred Qualifications):
- 4 years of experience in a health plan or health system setting
- 4+ years of management experience
- Previous experience in a quality assurance program and extensive knowledge of state and federal regulations and guidelines
- Complete understanding of medical coding guidelines and regulations
- Master's degree in health-related fields

#HealthcareServices #QualityAssurance #RemoteWork #CareerOpportunity #Compliance

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