• Collaborates with clinical documentation team in the review of inpatient accounts (with an emphasis on mortality reviews) identifying documentation improvement opportunities • Assess DRG, PDx, secondary Dx, PCS, POA and all other components of documentation that impact quality metrics • Consistently assures coding practices remain compliant with coding guidelines and regulations • Continually identifies educational opportunities related to coding and documentation • Expert educator to clinical teams and medical staff • Identifies strategic plans that will result in a positive impact to the clinical dashboard • Develops clinical relationships across the health system securing interdepartmental support necessary for successful implementation of education strategies assuring achievement of overall strategic targets • Ability to multi-task a variety of audits • Ability to analyze data and construct appropriate action plans • Develops teaching tools to promote quality outcomes • Is an active member of clinical and executive meetings as identified • Advanced understanding of quality metrics for health system (Vizient, PSI, USNWR) • Advanced understanding of clinical documentation and coding through the lens of local and national quality and ranking methodologies, including but not limited to, U.S News and World Report, Vizient, Leapfrog, the CMS Star Rating, and payer contracts and assists the Managers of Clinical Documentation and Coding in implementing key strategies to effect change. • Partners with Coding, Clinical Documentation leadership and Medical Directors to coordinate, maintain, and execute advanced project work that includes but, is not limited to, Mortality Review, HAC/PSI Review, Quality Abstraction and Analysis, and/or special and non-traditional project work. • Partners with NM departments that includes but is not limited to: IT; Analytics; and Innovation to design and implement new and advanced workflow solutions. • Partners with third-party consultants/partners to contribute to workflow and methodology build and refine as necessary.

• Perform the day-to-day activities of IT audit engagements (SOC 1, SOC 2, HIPAA), and readiness assessments under the direction of a member of the management team. • Evaluate the design and effectiveness of technology controls • Identifies and communicates IT audit findings to management • Help identify performance improvement opportunities for assigned clients • Communicate effectively with the clients and team members • Lead client meetings and foster client relationships through proactive communication • Provide weekly status reports to management • Proactively communicate to management regarding any potential issues

Role Description Use knowledge and experience to drive process review and changes. Conduct service line audits to identify issues while ensuring compliance with service line policies, procedures, customer expectations, contract requirements and industry standards. Support implementation of operational, process or system enhancements needed to improve process efficiency or quality. Qualifications - High school diploma or GED required; associate or bachelor’s degree in a related field is preferred. - 1-2 years of experience in a quality assurance or auditing role, or equivalent experience in an operational role within the relevant service line. - Experience with speech analytics software (e.g., CallMiner). - One year of service line knowledge to properly audit associate performance. - Solid understanding of Medicaid, Medicare, Disability, or Social Security. - Basic understanding of our service line databases (e.g., Eligibility Assist, Compass, Premium Assist). - Proficiency in Microsoft Office Suite, with an emphasis on Excel (including pivot tables and charts), PowerPoint and Word. - Solid applied business statistics (normal distributions, estimation, confidence intervals and hypothesis testing). - The ability to analyze data and create reports. Requirements - Perform regular audits of calls and accounts against established criteria to ensure compliance, accuracy, and quality. - Utilize speech analytics tools to monitor and evaluate associate interactions. - Document audit findings with clear, objective, and constructive feedback. - Compile and analyze audit results into comprehensive monthly/quarterly reports and presentations. - Deliver presentation of findings to service line leaders in regularly scheduled meetings. - Maintain and manage audit-related data in Excel, SharePoint, and other designated systems to ensure accuracy and accessibility. - Analyze audit data to identify trends, root causes of errors, and opportunities for process improvement. - Collaborate with service line leaders and the training department to discuss audit findings and develop action plans. - Facilitate training sessions for new hires to review audit criteria and quality expectations. - Conduct refresher training for associates who require additional support based on audit performance. - Actively participate in team meetings, calibration sessions, and one-on-one coaching with the Quality Manager. - Manage or contribute to quality recognition programs, such as "Quality Heroes," to promote a culture of excellence. - Update and maintain audit documentation, including criteria and procedures, for assigned service lines. - Other duties as assigned. Benefits - Comprehensive medical, dental, vision, and prescription coverage. - Wellness program supporting overall well-being. - Company-paid basic life and AD&D insurance. - 401(k) plan with company match. - Tuition reimbursement opportunities. - Paid time off for vacation and illness. - Six paid company holidays. - Floating holiday. - Company-paid training and computer equipment. - Performance-based bonus program. - Paid time off for volunteer activities. - Employee referral bonus program. - Career development and training opportunities, including leadership growth.

Conduct comprehensive evaluations and asset-based field examinations, verify collateral ownership and valuation, prepare detailed audit reports, and engage with customers to ensure accurate reporting and adherence to lending requirements.