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Penrose Hospital
Clinical Audit Analyst
Career Insights for Clinical Auditor / Utilization Reviewer
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Based on Colorado data
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What they do
A Clinical Auditor or Utilization Reviewer reviews the efficiency of healthcare delivery. Individuals tend to have had experience as a registered nurse or other healthcare delivery roles before transferring into this quality review role.
$91,702 / year median in Colorado
-3% projected decline
Job Description
Clinical Audit Analyst Penrose Hospital - 3.6 Colorado Springs, CO Job Details Full-time $33.55 - $53.72 an hour 18 hours ago Qualifications Direct patient care High school diploma or GED Acute care facility experience Associate's degree Full Job Description Job Summary and Responsibilities As our Clinical Audit Analyst, you will perform clinical and operational audits to verify the accuracy of information and ensure meticulous compliance with established policies, practices, and regulations. Every day you will conduct quality reviews of the entire care process, from physician order and registration to chart documentation, charging, billing, and reimbursement. You will also collaborate with revenue integrity advisors for root cause analysis and provide education to departments based on audit findings. To be successful in this role, you will possess strong analytical and auditing skills, meticulous attention to detail in reviewing clinical and operational data, a deep understanding of healthcare regulations, and the ability to effectively collaborate with various departments to ensure compliance and drive process improvements. Perform concurrent, internal, defensive, and patient requested audits. Accurately collects, analyzes, synthesizes, and prepares data and conducts work in a timely manner for use by senior management, service lines, medical staff, and hospital departments. Possess and apply broad knowledge of medical field and hospital processes to include, but not limited to medical terminology, medical record documentation/contents, injury/disease processes, and treatment protocol & practices. Maintain working knowledge of