Quality Improvement Analyst/Educator (51071)

$64,209 - $73,076/Yr

Health Solutions - Pueblo, CO

Full-time - Entry Level

Pueblo, CO

251-500 employees

Religious, Grantmaking, Civic, Professional, and Similar Organizations

About the position

Health Solutions is a premier wellness center focused on whole-person care. With over 400 employees in Southern Colorado, you would be joining a mighty team of support and administrative staff, case managers, clinicians, physicians, nurses, and others in our efforts to improve the health and wellbeing of our community. We're growing and hiring a Quality Improvement Analyst/Educator, to join our Quality Improvement team of professionals at 41 Montebello Road in Pueblo.

Responsibilities

• Supports and manages projects using agile framework, ensuring delivery and releases are within scope.
• Develops and coordinates a system for conducting technical reviews and audits of electronic clinical records to ensure appropriate service provision, documentation, and billing.
• Conducts general reviews to ensure that services provided conform to industry standards of care, Health Solution's policies and procedures, applicable government laws and regulations, and the requirements of funding and payor sources.
• Participates in the review of billing activities according to the Colorado Uniform Service Coding Manual and payor rules.
• Provides education regarding best practices in coding and documentation according to the Colorado Uniform Service Coding Manual, Health Care Policy and Finance requirements, and the Behavioral Health Administration Requirements.
• Designs and submits identified daily, weekly, and quarterly reports of audits and reviews, using a variety of software tools.
• Develops interventions and action plans based on the results of audits and reviews to improve processes and practices.
• Advises the director of quality as needed regarding quality improvement needs in service delivery, documentation, and billing for mental health.
• Other duties as assigned.

Requirements

• A baccalaureate degree is required, Master's degree in Business administration or Behavioral Healthcare along with experience in health-related field preferred.
• Billing/coding experience preferred.
• Proficiency in Microsoft Office, general computer, and keyboarding skills are required, knowledge of Microsoft Excel is a plus.
• Must have the ability to sit for long periods conducting audits from electronic medical records and the ability to read a computer screen without obstructions from visual impairments.
• Strong organizational skills.
• The ability to evaluate written documentation and the capability to record findings is necessary.
• A valid Colorado driver's license and access to transportation during work hours are required.

Nice-to-haves

• Is adaptable to change in the workplace and uses change as an opportunity for innovation and creativity.
• Takes ownership of problems, has ability to brainstorm different problem resolution paths, uses sound judgment in selecting solutions to problems, and demonstrates consistent follow through.
• Has job knowledge and skills to perform the fundamental job functions and is able and willing to assume greater responsibility over time regarding the scope of work.
• Has the ability to inspire and model collaborative teamwork.
• Demonstrates an understanding of customer service regarding accommodation, politeness, helpfulness, trust building, appropriate boundaries, and flexibility.
• Demonstrates an understanding of behavioral health clinical practices.

Benefits

• Competitive pay. $64,209.34-$73,076.22 (determined by education and experience)
• Generous benefits package. For most positions, includes paid holidays, generous PTO, EAP, tuition reimbursement, retirement, insurances, FSA, and a premier wellness program.
• Insurance: Medical, Dental, and Vision, with low deductibles. Also, Wellness benefits program available.
• HS Funded: EAP, Teladoc, LifeLock, Direct Path, Life and AD&D, LTD.
• Retirement 403(b) with employer match up to 6%.
• Additional Insurance: FSA, Voluntary Life, Allstate Voluntary benefits, and pet insurance.
• Childcare.
• Flexible work schedule.
• Employee recognition and celebrations.
• Warm and friendly work environment in which staff respect and learn from one another.
• Opportunities to serve our neighbors in Pueblo, Huerfano, and Las Animas counties.