Quality Assurance RN

Description

Quality Assurance RN - Administration, Providence Holy Family Hospital Spokane, WA

Under the supervision of the Revenue Integrity Manager, the Clinical Data Reviewer (RN) improves data quality and appropriately risk stratify the populations in value based contracts and provide better patient care by reviewing medical records to determine if there are any gaps in documentation. The Clinical Data Reviewer will query providers about any gaps to clarify the documentation to support and record appropriate ICD-10 diagnosis work. An understanding of risk adjustment models and hierarchical condition category (HCC) coding is necessary. Assists Population Health leadership in developing new data projects and elements for the collection, monitoring and reporting of both clinical and Quality Improvement outcomes. Supports the department and staff by providing clear and concise technical assistance as needed.

Providence caregivers are not simply valued - they're invaluable. Join our team at WAMT Regional Services and thrive in our culture of patient-focused, whole-person care built on understanding, commitment, and mutual respect. Your voice matters here, because we know that to inspire and retain the best people, we must empower them.

Shift Details: Full-time, Days Shift, 40 hours per week

Required Qualifications:

Bachelor's Degree BSN Or Coursework/Training Sufficient for RN licensure

Upon hire: Washington Registered Nurse License

3 years Nursing experience in a hospital or physician practice environment

Preferred Qualifications:

Upon hire: Certified Risk Adjustment Coder (CRC)

Why Join Providence?

Our best-in-class benefits are uniquely designed to support you and your family in staying well, growing professionally, and achieving financial security. We take care of you, so you can focus on delivering our Mission of caring for everyone, especially the most vulnerable in our communities.

About Providence

At Providence, our strength lies in Our Promise of "Know me, care for me, ease my way." Working at our family of organizations means that regardless of your role, we'll walk alongside you in your career, supporting you so you can support others. We provide best-in-class benefits and we foster an inclusive workplace where diversity is valued, and everyone is essential, heard and respected. Together, our 120,000 caregivers (all employees) serve in over 50 hospitals, over 1,000 clinics and a full range of health and social services across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington. As a comprehensive health care organization, we are serving more people, advancing best practices and continuing our more than 100-year tradition of serving the poor and vulnerable.

The amounts listed are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities.

Check out our benefits page for more information about our Benefits and Rewards.

About the Team

Providence has been serving the Inland Northwest since 1886 when Mother Joseph and the Sisters of Providence founded Sacred Heart Medical Center. Today, Providence is the largest health care provider in Washington located in communities large and small across the state. In eastern Washington, Providence provides care throughout Spokane, Stevens and Walla Walla counties.

Our award-winning and comprehensive medical centers are known for outstanding programs in cancer, cardiology, neurosciences, orthopedics, women's services, emergency and trauma care, pediatrics and neonatal intensive care. Our not-for-profit network also provides a full spectrum of care with leading-edge diagnostics and treatment, outpatient health centers, physician groups and clinics, numerous outreach programs, and hospice and home care.