Sr. Quality Assurance Specialist (Remote)
About the position Responsibilities • Daily auditing of RCM account worked by staff to ensure accuracy based on QA policies and procedures. • Gather of general documentation issues for the purpose of educational feedback. • Document and maintain QA findings on appropriate. • Complete monthly summary reports based on daily findings and distribute them to appropriate management personnel. • Communicate quality deficiencies to staff using the Quality Review. • Provide additional details about errors when necessary either to department management team or staff members. • Identify and trend common errors and deficiencies; report them to the department's management staff to facilitate improvement within the training process. • Work closely with department management staff to continually review processes and procedures so that the department is working efficiently and working account to full resolution. • Assist in the department's training process with respect to QA policy. • Adhere to and comply with information systems security. • Know and follow Information Systems security policies and procedures. • Attend Information Systems security training, when offered. • Report information systems security problems. • Other duties as assigned. • Reads and abides by the company's code of conduct, ethics statements, employee handbook(s), policies and procedures and other corporate mandates, including participation in mandatory training programs. • Reports any real or suspected violation of the corporate compliance program, company policies and procedures, harassment or other prohibited activities in accordance with the reporting policies of the company. • Obtains clarification of policy whenever necessary and may use the resources available through the Compliance, Human Resources or Legal Department to do so. • Reviews trends for missing documentation, denials, or other RCM critical key performance indicators. • Report to management possible payor issues, system issues or staff issues. • Respond to inquiries from other departments. • Training of new staff, QA and feedback. • Complete QA summary file. • Support and abide by the values of the company. Requirements • High School diploma or general education degree (GED) required. • Associate degree in RHIT preferred. • Five (5) + years related RCM QA audit experience and/or training; or equivalent combination of education and experience preferred. • Working knowledge of RCM billing system. • Good computer skills including the ability to be on multiple screens at once as well as use the zoom in and zoom out feature. Benefits • Paid Time Off • Medical • Dental • Vision • Life • Disability • Healthcare FSA • Dependent Care FSA • Limited Healthcare FSA • FSAs for Transportation and Parking • HSAs • Matching 401(K) Plan • 9 observed holidays • Paid family leave Apply tot his job