Clinical Quality Management Analyst
Job description
Job Description:
This job works with appropriate departments in the areas of compliance, process improvement, medical record review and coding, and member and provider satisfaction for all product lines. Recommends and implements process improvements related to the potential of quality medical care and service to members and to improve documentation of these services for appropriate ICD 10-CM coding.
- This is a medical review position. Will be mining medical records
- Must be a Registered Nurse in PA
- 3-5 years of medical review experience
- Must have medical review experience
- Customer service experience
- Attention to detail is a must
- Must be proficient in Excel
- Quality improvement experience preferred
- HEDIS experience is highly preferred
Job Type: Contract
Salary: $35.00 - $42.00 per hour
Schedule:
- Day shift
Work Location: Remote
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