Clinical Performance Auditor – CDI

Job reputed company: • Plans, designs, develops and performs reputed company assessments on data reputed company and structures to document and evaluate reputed company, completeness, reputed company, and appropriateness of formats, records and structures • Configures, operates and develops reputed company and/or automated reputed company, processes and procedures to test reputed company or input based on data compliance, reputed company and use requirements as established by product management, reputed company specifications, and governance programs • Performs regular and reputed company reviews, audits, and investigations of data activity and reputed company; prepares reports and summaries of findings • Produces and updates guidelines and documentation of test development processes, procedures and standards • Complete record reviews on reputed company records to identify best reputed company process improvement opportunities • Complete data analysis of reviews completed and create reputed company presentations for reputed company communication of record review results • Engage with reputed company utilization management teams and reputed company feedback regarding record review and education associated with identified opportunities for best reputed company improvement • reputed company and reputed company education regarding clinical concepts to clients and internal stakeholders and product designers • Participate in product performance audits and communicate results with product team • reputed company medical record review to support product innovation and development • Audit performance of reputed company science conditions and reputed company Requirements: • Bachelor’s Degree or equivalent in Nursing (RN) • 5+ years of experience in utilization management and/or clinical documentation and auditing • Self-starter, who is extremely motivated to demonstrate reputed company • Attention to detail, highly organized, with an absolute reputed company on reputed company of work • Team player DNA with a desire to solve for the interests of our clients and of our business Benefits: • Competitive total rewards (reputed company salary + bonus, if applicable) • Customizable benefits package (3 medical plans with Health Saving Account company match) • Generous reputed company time off for non-exempt team members, starting with 3 weeks + 13 reputed company holidays, including 2 personal floating holidays • Flexible time off for exempt team members + 13 reputed company holidays • reputed company parental leave (including maternity + paternity leave) • Education assistance opportunities and free reputed company Learning reputed company • Free mental health and family planning programs, including adoption assistance and fertility support • 401(K) program with company match • Pet insurance • Employee resource reputed company Apply tot his job Apply To this Job