Geode Health logo
Geode Health

Geode Health is a mental health services provider that works with adults and children in the United States. The company is committed to partnering with therapis

RN Quality Assurance Auditor

Location

United States

Posted

3 days ago

Salary

$85K - $100K / year

Seniority

Mid Level

No structured requirement data.

Job Description

RN Quality Assurance Auditor

Geode Health

Role Description Geode Health is a rapidly growing, national provider of outpatient mental health services. Our Mission is to “Transform mental health by making it more accessible, affordable and effective”. Comp Range: $85k - 100k/year + 10% annual bonus. Job Responsibilities - Complete audits according to an established audit schedule and audit procedures. - Audit patient records for completeness, accuracy, and appropriateness, including: - Ensuring records include the minimal required data. - Comparing source data to the records for accuracy. - Analyzing select data in detail. - Audit patient records and processes related to Geode’s QI/QA program. - Prepare records for audits performed by other staff, including: - Medical director chart reviews. - Patient reviews. - Imminent and eligible classification reviews. - Geode Health internal audits. - Identify opportunities to improve the quality of records, efficiency of processes, and increase performance. - Maintain detailed auditing data, including: - Workload details. - Documented audit findings, recommendations, and corrections. - Inform and educate staff of audit findings, recommendations, and corrections. - Report audit findings, recommendations, and corrections to internal leadership and complete follow-up activities as directed. - Monitor and follow up on requested audit corrections to ensure completion. - Develop audit and documentation/recordkeeping policies, procedures, and workflows. - Organize root cause analyses (RCAs), take minutes, and implement action items from RCAs. - Establish auditing goals, expectations, and benchmarks and ensure these are met or exceeded. - Create and/or adopt existing tools, systems, and methods to organize and catalog a variety of auditing data. - Perform analysis on auditing data to generate metrics and other tracking and trending analytics. - Interpret and monitor metrics and analytics to identify meaning, trends, and compliance towards auditing goals, expectations, and benchmarks. - Prepare and present analytics to internal leadership and external audiences ranging from front-end staff to executive leaders. Qualifications - Bachelor’s degree in business administration, science, health care, public health, or other life sciences related field. - Registered Nurse (RN) license required. - Three years of related quality assurance experience; within Behavioral / Mental Health preferred. - Ability to work with highly detailed, complex, and emotionally sensitive information. - Ability to maintain a high degree of discretion, confidentiality, protection, and integrity. - Ability to learn complex processes, medical terminology, technology systems, and progressively develop data analytics skill set. - Ability to prioritize and complete multiple complex work assignments. - Ability to work independently. - Knowledge of quality assurance, quality systems, internal auditing, and/or quality improvement preferred. Requirements - #LI-Remote - Estimated earnings: $80,000.00-$100,000.00

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