Health Management Auditor
Group Health Cooperative•Altoona, WI
•Onsite
About The Position
To assist with ensuring documentation compliance and excellence in the Electronic Health Record. This full time position offers an outstanding benefit package, including three weeks of vacation the first year, a generous retirement plan, health and dental insurance, a wellness program, and much more! If you are interested in working for an organization focused on a team atmosphere and is dedicated to providing exceptional service submit your resume today!
Requirements
- Active State of WI Nursing License
- Case Management Experience
- Proficient in the use of Microsoft Word and Excel.
- Excellent communication skills, strong attention to detail, good time management and organizational skills required.
Responsibilities
- Review various parts of the member Electronic Health Record focusing on items including, but not limited to, assessments, care plans, correspondence, acuity, and billing to ensure compliance.
- Review randomly selected member Electronic Records to assess critical thinking and proactive case management strategies.
- Collaborate with Manager of Case Management and Wellness and Health Management Team Leader on training needs identified from audits.
- Complete special projects as assigned by the Manager of Case Management
- Lead educational meetings with Case Management staff as directed.
- Support case management activities and member engagement as needed
- Assist with NCQA and Metastar audits/duties as assigned.
- Comply with all company policies and procedures.
Benefits
- three weeks of vacation the first year
- a generous retirement plan
- health and dental insurance
- a wellness program
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
No Education Listed
