Quality Reporting Denials Manager - RN

Employment Type

: Full-Time


: Miscellaneous

Job # 414595 Date posted 08/13/2021 Description The Quality Reporting Denials Manager provides coordination of timely and accurate data collection and documentation to meet requirements of the mandated CMS LTCH Quality Reporting Program. To ensure accuracy in the coding and reflection of the patient's care needs and in collaboration with the interdisciplinary team, this individual collects, reviews and monitors the patient information reported at admission and discharge for the CARE Data Set tool contained in the LTRAX database and reported monthly contained in the NHSN database as supported by documentation in the medical record. This position will assist in the ongoing monitoring of identified outcome benchmarks for the inpatient population. This position will assist in the mitigation of denials by auditing the EMR and other documentation systems for quality and technical compliance and providing guidance to the interdisciplinary team members on appropriate documentation. The Outcomes Manager has access to confidential patient information and maintains all confidentiality of all information. Qualifications * Graduation from an accredited Bachelors of Science in Nursing; current, unrestricted state licensure. * 3 years data coordination, aggregation, analytics in LTCH hospital. Kindred Hospital Division regulatory compliance, quality experience or operational processes a plus. * CPR/BCLS certification * 3+ years of experience in the care of patients in the long term acute hospital setting, preferred. * Excellent oral and written communication and interpersonal skills.

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