We are recruiting for a motivated Sr Medical Records Auditor, RN (PRN / Intermittent) - Denver Health Medical Plan (Must Live In Colorado) to join our team!
We are here for life's journey.
Where is your life journey taking you?
Being the heartbeat of Denver means our heart reflects something bigger than ourselves, something that connects us all :
Humanity in action, Triumph in hardship, Transformation in health.
Department
Managed Care Administration
Job Summary
Under general supervision, work with DHMP HEDIS project manager as a member of the medical record review team to complete HEDIS reviews in accordance with NCQA guidelines and technical specifications. Responsible for performing accurate and comprehensive reviews of medical records using DHMP's medical abstraction tool and software, while maintaining HIPAA Privacy and Security standards. Reviewer must pass a medical record abstraction test prior to beginning the project after completing required training. Reviewer will need to maintain competency demonstrated in test throughout the project.
Essential Functions :
Education :
Work Experience :
Licenses :
Knowledge, Skills and Abilities :
Shift
Varies (United States of America)
Work Type
PRN / Intermittent
Salary
$37.15 - $57.58 / hr
Benefits
Social security replacement retirement plan with employer contribution of 3%
On-site employee fitness center and wellness classes
Community resource navigation support
Childcare discount programs & exclusive perks on large brands, travel, and more
Education & development opportunities including career pathways and coaching
Our Values
Respect
Belonging
Accountability
Transparency
All job applicants for safety-sensitive positions must pass a pre-employment drug test, once a conditional offer of employment has been made.
Denver Health is an integrated, high-quality academic health care system considered a model for the nation that includes a Level I Trauma Center, a 555-bed acute care medical center, Denver's 911 emergency medical response system, 10 family health centers, 19 school-based health centers, Rocky Mountain Poison & Drug Safety, a Public Health Institute, an HMO and The Denver Health Foundation.
As Colorado's primary, and essential, safety-net institution, Denver Health is a mission-driven organization that has provided billions in uncompensated care for the uninsured. Denver Health is viewed as an Anchor Institution for the community, focusing on hiring and purchasing locally as applicable, serving as a pillar for community needs, and caring for more than 185,000 individuals and 67,000 children a year.
Located near downtown Denver, Denver Health is just minutes away from many of the cultural and recreational activities Denver has to offer.
Denver Health is an equal opportunity employer (EOE). We value the unique ideas, talents and contributions reflective of the needs of our community.
Applicants will be considered until the position is filled.
Sr Auditor • Denver, CO, United States