| Location | IL |
ABOUT THIS POSITION
Plans, designs, develops and performs quality assessments on data elements and structures to document and evaluate integrity, completeness, quality, and appropriateness of formats, records and structures. Configures, operates and develops manual and/or automated methods, processes and procedures to test output or input based on data compliance, quality and use requirements as established by product management, client specifications, and governance programs. Performs regular and ad hoc reviews, audits, and investigations of data activity and integrity; prepares reports and summaries of findings.
WHAT YOU'LL DO
Bachelor's Degree or equivalent in Nursing (RN)
5+ years of experience in utilization management and/or clinical documentation and auditing clinical documentation
Self-starter, who is extremely motivated to demonstrate success
Attention to detail, highly organized, with an absolute focus on quality of work
Team player DNA with a desire to solve for the interests of our clients and of our business
WHAT YOU'LL NEED
Complete record reviews on client records to identify best practice process improvement opportunities
Complete data analysis of reviews completed and create summary presentations for internal and external communication of record review results
Engage with client utilization management teams and provide feedback regarding record review and education associated with identified opportunities for best practice improvement
Develop and provide education regarding clinical concepts to clients and internal stakeholders and product designers
Product Innovation:
Participate in product performance audits and communicate results with product team
Perform medical record review to support product innovation and development
Audit performance of key data science conditions and elements
ABOUT WAYSTAR
Through a smart platform and better experience, Waystar helps providers simplify healthcare payments and yield powerful results throughout the complete revenue cycle.
Waystar's healthcare payments platform combines innovative, cloud-based technology, robust data, and unparalleled client support to streamline workflows and improve financials so providers can focus on what matters most: their patients and communities. Waystar is trusted by 1M+ providers, 1K+ hospitals and health systems, and is connected to over 5K commercial and Medicaid/Medicare payers. We are deeply committed to living out our organizational values: honesty; kindness; passion; curiosity; fanatical focus; best work, always; making it happen; and joyful, optimistic & fun.
Waystar products have won multiple Best in KLAS or Category Leader awards since 2010 and earned multiple #1 rankings from Black Book surveys since 2012. The Waystar platform supports more than 500,000 providers, 1,000 health systems and hospitals, and 5,000 payers and health plans. For more information, visit waystar.com or follow @Waystar on Twitter.
WAYSTAR PERKS
Waystar is proud to be an equal opportunity workplace. We celebrate, value, and support diversity and inclusion. Qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, national origin, disability status, genetics, marital status, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state, or local laws.
This applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation, and training.