Clinical Quality Management Analyst - Registered Nurse (Remote)
Highmark Health(13 days ago)
About this role
This role involves working with various departments to improve medical record review, coding, and compliance for healthcare services. It emphasizes process improvement, data analysis, and quality assurance to enhance member care and provider documentation. The position also includes conducting audits, educating healthcare staff, and ensuring adherence to regulatory standards.
Required Skills
- HEDIS
- ICD 10-CM
- Medical Records
- Coding
- Process Improvement
- Auditing
- Regulatory Compliance
- Data Analysis
- Quality Improvement
- Healthcare
About Highmark Health
highmarkhealth.orgA national health and wellness organization as well as the second largest integrated delivery and financing system in America.
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