Risk Adjustment Nurse

🕒 October 1

🏄 California, Illinois, +3 more states – Remote

🏄 California – Remote 🌽 Illinois – Remote 🔔 Pennsylvania – Remote 🎸 Tennessee – Remote ⛷️ Utah – Remote

💵 $90k - $110k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

🎲 Risk

👻 Ghost score 0%

What it means: the chance that no one is really hiring for this job.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.Why this score:

• Open for 45 days.
• Jobs at this company usually fill in 63 days.

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Tendo

WebsiteLinkedInAll Job Openings

51 - 200 employees

🏥 Healthcare

💼 Consulting

⚕️ Healthcare Insurance

Healthcare • Consulting • Healthcare Insurance

Tendo is a healthcare technology company focused on transforming the end-to-end patient experience and improving healthcare outcomes. It provides a suite of applications designed for clinicians, patients, and healthcare providers with features like actionable insights, quality documentation improvement, personalized patient care journeys, and care connect platforms. Tendo emphasizes the use of data and analytics to drive informed healthcare decisions and operational efficiencies, aiming to enhance financial, operational, and quality outcomes in the healthcare sector. Their goal is to revolutionize healthcare delivery using a modern and configurable platform.

📋 Description

• Conduct QDI review of assigned inpatient cases, identifying clinically supported documentation opportunities in real time • Develop and follow up on compliant, physician-facing documentation queries • Communicate directly with physicians and APPs regarding documentation and quality risk adjustment opportunities • Manage and prioritize an assigned daily review queue to meet turnaround expectations • Participate in provider education activities related to clinical documentation, risk adjustment, and quality outcomes • Contribute to reviewer calibration and quality assurance activities • Support customer-specific workflows and initiatives as new health system partners onboard • Provide clinical documentation and risk adjustment review for Tendo's QDI Services customers • Work closely with the Director of QDI Services and fellow reviewers on quality calibration • Support provider education initiatives across Tendo's customer portfolio

🎯 Requirements

• 6+ years of CDI/QDI experience • 6+ years of acute-care nursing experience • Active RN license, in good standing • CCDS certification • Epic experience • Working knowledge of HCCs, Elixhauser comorbidities, and quality risk adjustment methodology • Direct experience communicating and educating physicians and APPs on documentation opportunities • Ability to work independently and manage a queue with minimal oversight • Excellent written and verbal communication skills

🏖️ Benefits

• Full health benefits (medical, dental, and vision) • Flexible spending and health savings accounts • Company-paid life insurance • Company-paid short-term and long-term disability • Company equity • Voluntary benefits • 401(k) • Company-paid holidays • Flexible time off • Employee wellness program ("Breathe") • Annual bonuses

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