Registered Nurse Auditor-Full Time-THPG

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Location:
Dallas, TX US
Job ID:
98582
Area of Interest:
RN
Job Type:
Full Time
Facility:
Texas Health Organization for Physicians


Qualifications/Duties:
At Texas Health Organization Physician Group we are dedicated to finding people to help us fulfill our commitment to make health care human again. Come join us on our Journey as we rise to the next level.

Location:
Texas Health Physicians Group | 9229 LBJ Freeway, Dallas, TX 75243

Shift days: Monday - Friday
Hours: 8:00AM to 5:00PM w/ 20% travel to other THPG clinics.

Position Summary:
This position will be responsible for all internal and external quality and clinical audits for THPG.

Education required:
Bachelor’s degree

Experience required:
2 years in healthcare auditing, coding and compliance.

Licensure/certification required:
Registered Nurse upon hire

Preferred Certification:
CPC - Certified Professional Coder
Certified Facilitator of Chronic Disease Management Program

Essential Functions:
Complete quality and clinical audits in a timely and accurate manner
•       Complete audits according to template and  
       guidelines
• Conduct timely follow up to requests, inquiries
       and feedback related to the audit
• Communicate to Manager/Director requesting
       audit any barriers, obstacles or concerns
       related to audit or material used to complete
       audit
• Coordinate activities to obtain appropriate
       medical records, copies of supporting
       documentation and other related materials
       needed to complete the audit.
• Utilize standing clinical protocols to initiate
       orders/interventions
• Immediately reports unethical or illegal activities

Utilize quality and clinical finding to facilitate and provide education associated with findings to providers, PM, RD, Etc
• Subject matter expert to understanding/train on
       audit criteria and documentation requirements
• Communicate needs to requestor of the audit
• Request needed resources and support to
       complete the audit
Maintain master spreadsheet with activity related to audits in a safe and secure location
-Maintain Audit master spreadsheet
- Report out snapshots based on quality findings
-Create analysis and trend graphs
-Communicate findings to appropriate person,
 department or system
-Identify gaps in care

Utilize clinical expertise for development and use of auditing tools and templates  

Will participate in quality improvement initiatives and provide clinical expertise to develop clinical recommendations for evidence based quality metrics, clinical protocols, clinical workflows, research and education.

Develop and maintain workflow and process for conducting the audit by agreed upon deadline.

Other duties as assigned.

Skills and Abilities:
Skills required (if applicable): Basic knowledge of EMR (Care Connect and Allscripts), Advanced knowledge of medical procedures and documentation. Ability to work independently with minimal direct supervision. Basic time management and project management.  Excellent verbal and written communication skills; outstanding interpersonal skills; the ability to relate positively with individuals at all levels both internally and externally. Proven physician relations and customer satisfaction skills


Entity Information:
Texas Health Organization for Physicians (THOP) is Texas Health Resources' 501(a) not-for-profit health corporation offering employment opportunities for administration staff that service providers of Texas Health Physicians Group (THPG). THOP provides services for member physicians that help them get back to what they do best -- practice medicine. From an affordable electronic medical record to comprehensive practice support services and group purchasing power, physicians and their patients benefit from being a part of THPG.
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