Quality Assurance Review Specialist I

Quality AssuranceReview Specialist I

Summary of Position:

The Quality Assurance (QA) Review Specialist - performs review functions to ensure that disclosures of PHI and PI are accurate and complete and comply with client protocols, state and federal privacy laws and regulations and/or with policies and procedures regarding HIPAA, PHI and PI.  This position may be performed remotely.

Duties & Responsibilities:

•            Reviews authorizations and requests for records to ensure that all pertinent information is contained on these forms and the dates are valid and relevant to the release process.

•            Verifies that the attached medical records correlate to the authorization and request and documentation encompasses that patient only.

•            Follows all Quality Assurance policies, procedures and job aids.

•            Proactively communicates with Manager or Supervisor regarding further clarification and when additional work is needed.

•            Actively participates with QA Team Meeting discussions.

•            Sends notifications to requestor when applicable

•            Communicates with company personnel in a professional and friendly manner

•            Communicates with Release of Information Specialists and Client Site Managers on issues pertaining to quality review.

•            Attends and completes on time, all required training sessions provided by Verisma

•            Meets accuracy standards and performance indicators established by the Company

•            Performs other appropriate duties as assigned to meet the needs of the department and the Company

•            Consistently live by and promote Verisma Core Values

Minimum Qualifications:

•            Must be detail oriented

•            HS Diploma or equivalent, additional education in Health Information is preferred

•            RHIT certification, CHDA certification or the ability to take and pass the course is preferred

•            Knowledge and ability to use components of Microsoft Office Suite to complete tasks and possess the ability to learn new software applications

•            2 years’ experience in a professional office environment or healthcare setting, preferred with  medical terminology knowledge

•            Knowledge of HIPAA and state regulations related to the release of Protected Health Information, preferred

•            Must be able to communicate clearly and concisely to relay information to other departments

•            Must be able to work independently