About iMPROve Health

Come join the iMPROve Health team! iMPROve Health is Michigan’s Medicare-designated Quality Improvement Organization. We are both a Cool Place to Work (Crain’s Detroit Business) for the last 4 years and one of the Best Places to Work in Healthcare as judged by Modern Healthcare. As a nonprofit organization, we have more than 35 years’ experience improving healthcare across the continuum of care using evidence-based and data-driven logic. iMPROve Health provides medical consulting and review, as well as data analysis to federal agencies, state Medicaid and public health organizations, healthcare facilities, private health plans and other third-party payers. We also have extensive experience completing thoughtful and impartial utilization review, dispute resolution and peer reviews. Our goal is simple – to help healthcare get better!

This position is 100% remote and provides the opportunity to work virtually with team members from anywhere within the United States. We pride ourselves on providing a great work/life balance for employees, while also providing the ability to promote their career development and gain new skills through employee education opportunities. iMPROve Health offers a wonderful benefit package that includes medical, dental, vision, life insurance, short term and long-term disability, and a generous 401k match.

iMPROve Health is committed to improving the quality, safety, and efficiency of healthcare. Although we do not see patients, we are healthcare professionals (including physicians and nurses) and consultants who work with healthcare providers to promote the adoption and use of evidence-based best practices and processes to achieve our healthcare quality goals. Our services offer our clients and partners access to a proven, impartial, connected resource that understands the intricacies of healthcare. It is our #1 priority to provide thoughtful evidence-based strategies and solutions that help them achieve their healthcare quality improvement goals and outcomes.

iMPROve Health is an equal employment opportunity employer.

*Must be able to work M-F normal business hours in EST.

SUMMARY:

This position will perform objective data abstraction at various healthcare settings for clinical quality measure audits.

DUTIES AND RESPONSIBILITIES:

• Navigate medical charts and various electronic health records (EHR)
• Input abstracted data into an electronic template
• Work with healthcare setting leadership and their staff
• Meet daily and weekly targets to adhere to project deadlines and deliverables
• Achieve an inter-rater reliability of greater than 92%
• Adhere to the contractor's stringent onboarding requirements
• Adhere to all relevant compliance regulations (HIPAA, FISMA, URAC, CMS)

QUALIFICATIONS:

• Clinically/medically trained as an RN, RHIA, and/or RHIT
• At least 3 years of experience in medical data abstraction
• Knowledge of ACOs, PQRS, QPP, MIPS or HEDIS required
• Intermediate computer knowledge including working with excel and the internet
• EMR experience required (Cerner and/or Oracle preferred)
• Health information technology and EHR experience/knowledge preferred
• Working knowledge of PowerPoint, Microsoft Access and Visio preferred
• ICD-10 coding knowledge a plus
• Strong problem solving skills

CERTIFICATES, LICENSES, REGISTRATIONS:

One of the following is required:

• RN license
• RHIA
• RHIT