Commission Insurance Chart Review Jobs in Georgia

Description

WHAT IT'S LIKE AT SGMC HEALTH

Purpose. No matter your role or area that you work in, at SGMC Health we are collectively working towards goals that will make our community a better place.

Excellence. We strive to do the right thing the right way, are accountable in all we do, require competence of our people, and are compassionate in our service.

Team Spirit. We encourage team effort, support personal and professional development, acknowledge individual talents and skills, and support innovation and empowerment.

Award Winning Performance. We are committed to providing the best care possible and we are proud to be recognized locally, statewide, and nationally for the exceptional care that our staff provides.

WHY YOU WILL LOVE SGMC HEALTH

SGMC has great benefit options, depending on the role that you are going into– including healthcare, supplementary benefits, ways to save for the future, opportunities for career advancement, and opportunities to expand your skill set. Some of these great benefit options are listed below:

• Low Healthcare Insurance Premiums
• 401(k) with employer match
• Paid Time Off (PTO)
• Employee discounts
• Company paid life insurance
• Short-Term and Long-Term Disability
• Cancer Insurance
• Accident Insurance
• Pet Insurance
• Tuition Reimbursement
• On-the-job training and skills development
• Opportunities for growth and advancement
• Employee Assistance Program

JOB LOCATION : Main Campus

DEPARTMENT: QUALITY IMPROVEMENT/PT SAFETY

SCHEDULE: Full Time, 8 HR Day Shift,

POSITION SUMMARY 

Responsible for Chart review and data abstraction in support of quality measurement, analysis, and improvement across SGMC. Participates in regulatory requirements/standards which may include core measures, accreditation, registries and other quality metrics. The Quality Improvement Specialist II develops interventions through interdepartmental collaboration and planning, multi-disciplinary communication and implementation/analysis of new care delivery processes impacting quality metrics. Serve as a facilitator for education and training regarding quality improvement, accreditation standards, internal process improvements and external regulatory requirements. Assist in achieving goals of high quality, cost effective patient care and services, while demonstrating compliance with Joint Commission, CMS and other regulatory agencies. Leads collaborative efforts with the Director by providing complete, accurate and timely feedback on status of compliance and collaboration for improvement of quality metrics and/or accreditation standards. Reports unusual or questionable situations to Director/CMO. Facilitate compliance with quality metrics through collaborative planning, coordination, implementation, and evaluation of new care delivery processes, documentation processes and data. Assists the organization in maintaining preparedness for accreditation and licensure surveys. Identify specific patient populations requiring Core Measure and registry documentation, Sepsis, Stroke, NCDR) utilizing electronic processes and when indicated, concurrent chart reviews. Perform daily chart review and documentation of core measures, registry and selected quality indicators as directed. Responds to requests for data aggregation and analysis. Educates Providers/clinical staff on compliance with quality measures/reporting. Serve as a primary liaison to IS for integration of electronic processes impacting quality metrics/data. Facilitates patient safety activities as assigned. Performs other duties as requested or assigned.

 KNOWLEDGE, SKILLS & ABILITIES 

• Required Clinical Healthcare degree 
• Minimum of five years’ experience in healthcare. 
• Knowledgeable in Information Management, Healthcare Information, Healthcare Administration, Business Administration. 
• Strong analytical skills.
•  Demonstrated data management skills. 
• Strong organizational skills.
•  Demonstrated ability to communicate effectively verbally and in writing. 
•  Ability to work independently as well as participate in interdisciplinary meeting.
•  Competency in PC use and software packages. 

Office setting. Requires considerable setting. May be subject to moderate to high stress at times. Requires light lifting (not to exceed 25 pounds). Requires high computer usage.

SEE WHAT ALL OF THE HYPE IS ABOUT

https://www.youtube.com/watch?v=_DeqKw8xk54