CareBridge Clinical Quality Consultant Nurse Practitioner

CareBridge Health is a proud member of the Elevance Health family of companies, within our Carelon business. CareBridge Health exists to enable individuals in home and community-based settings to maximize their health, independence, and quality of life through home-care and community based services.

CareBridge Clinical Quality Consultant Nurse Practitioner Location: This position is primarily a Remote role. Work Shift: Monday - Friday, 8 am to 5 pm. The Clinical Quality Consultant Nurse Practitioner is responsible for quality documentation, coding and value capture.

Focus on chart reviews by supplying clinical expertise to ensure full accurate and appropriate diagnosis, documentation, coding and care. will review all provider visit medical encounters and apply most appropriate diagnosis codes. Overall accountability for the HCC/Risk Adjustment of goals and workflows to support value capture initiatives and high-quality clinical documentation. Chart reviews for closing HEDIS care opportunities to ensure practice and health plan success. Liaison to coding team. Participate in peer review of medical documentation for completed visit notes and patient profile information in EMR. Reviews and corrects any ICD-10 codes that have been assigned in charts. Provide feedback to the provider for improved documentation to support specific codes. Travels to worksite and other locations as necessary.