RN Chart Quality & Compliance Analyst

PIH Health; Los Angeles (CA); On-site; USD 85,000 - 110,000; Full time

Job summary

PIH Health seeks an RN Peer Review Analyst in Los Angeles to retrospectively review medical records, validate quality of care, and ensure documentation accuracy. You will audit charts for appropriate admissions and continued stay, collaborating with physicians and nurses to improve charting across care teams.

You will monitor hospital metrics, participate in team meetings, and support Medicare documentation strategies to enhance DRG assignment and compliance.

Qualifications

• Organizational, analytical, writing and interpersonal skills.
• Dependable and self directed.
• Critical thinking, problem solving and deductive reasoning skills.
• Basic computer skills – familiarity with Windows based software.
• Knowledge of Medicare Part A and B.
• Understanding of regulatory environment.
• Understanding and supporting documentation strategies.
• Understand and communicate Medicare requirements and how they impact DRG assignment.

Responsibilities

• Retrospective review of medical records for quality and accuracy.
• Audit charts for admission appropriateness and continued stay.
• Monitor compliance with hospital metrics and care documentation.
• Interact with physicians, nurses and professionals regarding charting.
• Participate in team meetings to improve charting for clinicians.

Skills

Organizational skills

Analytical skills

Writing skills

Interpersonal skills

Dependable

Self-directed

Critical thinking

Problem solving

Medicare Part A/B knowledge

Regulatory understanding

Documentation strategies

DRG assignment knowledge

Education

Current California RN license

RN degree or higher preferred

Bachelor/Master degree preferred

Job description

PIH Health seeks an RN Peer Review Analyst in Los Angeles to retrospectively review medical records, validate quality of care, and ensure documentation accuracy. You will audit charts for appropriate admissions and continued stay, collaborating with physicians and nurses to improve charting across care teams.

You will monitor hospital metrics, participate in team meetings, and support Medicare documentation strategies to enhance DRG assignment and compliance.