Quality & Compliance RN: Chart Review Specialist

PIH Health; Los Angeles (CA); On-site; USD 108,000 - 184,000; Full time

Job summary

PIH Health in Los Angeles is seeking an RN Peer Review Analyst responsible for retrospective medical record reviews, data compilation to validate quality and accuracy of documentation, and auditing charts for admission/continued stay. You will interact with physicians, nurses and staff to improve charting and care documentation.

Requirements include a California RN license and LA Fire Card within 6 months; preferred are RN degree, 5 years chart review and experience in quality management or case

Qualifications

• LA City Fire Card within 6 months of employment.
• Current California RN license.
• Knowledge of Medicare Part A and Part B.
• Understanding of regulatory environment.
• Understanding and supporting documentation strategies.
• Understand and communicate Medicare requirements and their impact on DRG assignment.
• RN Degree, Bachelor’s or Master’s degree preferred.

Skills

Organizational

Analytical

Writing

Interpersonal skills

Dependable

Self-directed

Critical thinking

Problem solving

Deductive reasoning

Windows

Medicare knowledge

Regulatory knowledge

Documentation strategies

Medicare requirements

Education

California RN license

LA City Fire Card

RN degree

Bachelor’s degree

Master’s degree

Tools

None

Job description

PIH Health in Los Angeles is seeking an RN Peer Review Analyst responsible for retrospective medical record reviews, data compilation to validate quality and accuracy of documentation, and auditing charts for admission/continued stay. You will interact with physicians, nurses and staff to improve charting and care documentation.

Requirements include a California RN license and LA Fire Card within 6 months; preferred are RN degree, 5 years chart review and experience in quality management or case