Clinic Abstractor-Nurse Audit
Company: UnityPoint Health
Location: West Des Moines
Posted on: April 16, 2024
Job Description:
OverviewUnityPoint ClinicsClinic Abstractor- Nurse AuditMonday-
Friday, 8a-5pFull-Time Benefits, 40 hours/ Week Provides
verification and support of quality and performance management
activities through abstracting clinical data from patient's
records. The abstracted information will help meet payor contract
requirements that impact financial performance, as well as validate
compliance with standards within UnityPoint Clinics.
ResponsibilitiesClinical Data Abstraction -
- Abstracts clinical data in an accurate and timely manner from
patient medical records
- Demonstrates critical thinking skills when abstracting and
reviewing patient medical records
- Ability to navigate through UnityPoint Clinic electronic
medical record (EMR), payor-designated software platforms, and
appropriate internal electronic platforms.
- Stay current on systems through training and webinars
- Abstracts and records clinical data from patient medical record
in accordance with specific audit criteria
- Responsible for immediate feedback to Managed Care Supervisor
and Executive Director of Payor Strategies or other designated
individual or reporting bodyDepartment and Customer Support
- *Ability to answer questions/concerns voiced by Clinical
Leadership, staff, and/or Provider.
- Maintains accuracy of medical record data and report results to
Managed Care Supervisor, Director of Payor Strategies, or
designated reporting body
- Willingness to participate in staff meetings/provider meetings
to explain audit findings, if appropriate
- Assists and performs improvement initiatives relative to
performance improvement plan/UnityPointClinic quarterly audit
schedule including accreditation requirements
- Communicates with Clinical Quality Assurance Committee, Quality
Team, Payor Strategies Team,and other organizational bodies as
needed.
- Provides timely feedback on problematic trends and suggestions
for improvement
- Develops action plans when appropriate
- Provides education regarding documentation trends and
strategies to improve compliance 5%
- Supports other audit projects as neededQualificationsEducation
Preferred:
- Bachelor's Degree in the field(s) of nursing Experience:
- 3-5 years of experience in/with ambulatory or medical office
setting required
- Managed care experience preferred License:
- Valid driver's license when driving any vehicle for
work-related reasons
- Current license to practice nursing in the State of
Iowa/Illinois for Registered Nurse
- Area of Interest: Nursing;
- FTE/Hours per pay period: 1.0;
- Department: Managed Care;
- Shift: M-F 8am-5pm;
- Job ID: 145509;
Keywords: UnityPoint Health, West Des Moines , Clinic Abstractor-Nurse Audit, Healthcare , West Des Moines, Iowa
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