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Clinical Quality Assurance Registered Nurse

2 months ago

Spokane, Washington, United States Providence Full time
Position Overview:
As a Clinical Quality Assurance Registered Nurse, you will play a vital role in enhancing data integrity and ensuring optimal patient care. Under the guidance of the Revenue Integrity Manager, your primary responsibility will be to assess medical records, identifying any documentation gaps that may affect patient outcomes.

Key Responsibilities:
1. Conduct thorough reviews of medical records to evaluate documentation quality and compliance with value-based contracts.
2. Engage with healthcare providers to clarify documentation discrepancies and support accurate ICD-10 coding.
3. Collaborate with Population Health leadership to develop innovative data projects aimed at improving clinical and quality improvement outcomes.
4. Provide technical assistance and support to departmental staff, ensuring clarity and precision in processes.

Qualifications:
Required:
- Bachelor’s Degree in Nursing (BSN)
- Valid Washington Registered Nurse License upon hire
- Minimum of 3 years of nursing experience in a clinical setting

Preferred:
- Certification as a Risk Adjustment Coder (CRC)

Work Environment:
This full-time position operates during day shifts, totaling 40 hours per week. You will be part of a dedicated team committed to delivering exceptional healthcare services.

About Providence:
Providence is a leading healthcare organization dedicated to providing comprehensive care across various communities. Our mission emphasizes understanding, commitment, and mutual respect, ensuring that every caregiver is valued and empowered.

Benefits:
We offer a competitive benefits package designed to support your well-being and professional growth, including health care benefits, retirement plans, and various resources to promote a healthy work-life balance.