RN Clinical Auditor Quality Review Specialist

3 weeks ago

Lakewood, United States Bloom Healthcare Full time
Job Title: RN Clinical Auditor Quality Review Specialist

About Bloom:

Bloom Healthcare is a pioneering and employee-owned primary care and hospice practice at the forefront of transforming healthcare delivery for vulnerable patients. We bring high-touch, innovative medicine to those living at home with chronic conditions. Bloom’s model of care is proven to provide exceptional care to the homebound population, and Bloom Healthcare has generated outstanding quality results in CMS Innovation Center models compared to our peers.

At Bloom Healthcare, we believe in creating an environment that fosters growth, collaboration, and a shared sense of purpose. Bloom Healthcare has been voted the "Top Workplace" for four consecutive years. This honor reflects our unwavering commitment to our employees. By nurturing a work culture that puts our team first, we empower them to put our patients first.

By joining the Bloom Healthcare family, you're not only embarking on a rewarding career journey but also becoming a part of a community that genuinely cares about you. We thrive together, supporting one another, and making a significant impact in the lives of our patients. Become a part of our success story and experience firsthand why we're consistently voted the best place to work.

Position Overview:

At Bloom Hospice, we are more than just patient care. We value and support each member of our team, believing that everyone plays a crucial role in our mission. Join us and find the perfect opportunity to enhance your career.

This position is designed for a self-motivated RN with notable tech skills who is responsible for the audit and analysis of clinical documentation improvement (CDI) within Bloom Hospice. This critical role plays a pivotal part in maintaining high standards of patient care and regulatory compliance. The RN Clinical Auditor & Quality Review Specialist conducts thorough reviews of patient records, identifies discrepancies, and collaborates with the clinical and administrative teams to make necessary corrections and improvements. The specialist will work remotely but must ensure regular and consistent communication with the hospice team.

Key Responsibilities:

  • Review patient medical records, including clinical notes, assessments, plans of care, and other documentation to ensure accuracy and compliance with hospice and regulatory standards
  • Assess the completeness and quality of clinical documentation and adherence to hospice care policies and procedures
  • Stay current with federal and state regulations and ensure that the hospice program is in compliance with these standards
  • Provide feedback and reports to the clinical and administrative teams regarding chart deficiencies, offering guidance and recommendations for improvements
  • Assist in the development and delivery of training programs for clinical staff to improve documentation practices and ensure compliance. Educate team members on best practices in charting, documentation, and regulatory requirements
  • Assist in the preparation for external audits by ensuring all records are complete, accurate, and in compliance with regulations
  • Identify opportunities for process improvement and work with relevant teams to implement changes that enhance chart accuracy and compliance
  • Interact and educate medical professionals, enhancing the understanding of the CDI program
  • Collaborate with internal stakeholders to recognize and mitigate any documentation risks
  • Engage in data-driven initiatives to enhance organizational performance and CDI processes
  • Analyze data related to patient outcomes and clinical performance to assess the effectiveness of healthcare services
  • Offer support for any vendor-specific software products used within the hospice

Minimum Qualifications:

  • Registered Nurse or a related field preferred
  • Proven experience in healthcare chart auditing or quality assurance
  • In-depth knowledge of hospice care regulations and compliance requirements
  • Strong analytical and problem-solving skills
  • Excellent attention to detail and organizational abilities
  • Effective communication and interpersonal skills
  • Ability to work independently and as part of a team
  • Proficiency in medical record software and Microsoft Office applications
  • Certification in healthcare quality assurance or auditing is a plus

Why Bloom?

  • Competitive salary with bonuses and stock options.
  • Opportunities for professional growth.
  • Collaborative work environment with a passionate team making a difference in healthcare.
  • Comprehensive health, dental, and vision insurance including an employer-paid benefit plan.
  • 401(k) retirement plan.
  • Employer-paid basic life and AD&D insurance.
  • Generous PTO and paid holidays.
  • Annual continued education allowance.

Bloom Healthcare is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees.

The salary for this position is competitive and commensurate with experience. The pay range for this role in the state of Colorado typically falls between $36.41 - $60.69 per hour with the potential for performance-based bonuses and other benefits. Actual compensation may vary based on factors such as qualifications, experience, and location within the state.

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