Quality Assurance Coordinator

JOB SUMMARY

The Quality Assurance Coordinator supports the facility Compliance Program by assisting the Executive Director with the initiatives designed to adhere to the standards, regulations and requirements issued by accreditation organizations and state/federal agencies. The role also collaborates with the field and Legal department in responding to escalated medical records requests made to the Company.

JOB RESPONSIBILITIES

• Coordinates, with assistance, key components of the Compliance Program that are designed to meet the requirements or recommendations of Federal and State regulatory agencies.
• Supports the field compliance team in managing the day-to-day operations of the enterprise-wide Compliance Program, including assisting with the documentation needed to accompany state licensure applications and the voluntary accreditation process.
• Creates reports for Compliance meetings.
• Develops and maintains critical organizational systems designed to meet deadlines issued by regulatory bodies, organizes key policies and procedures and responds to escalated medical record requests.
• Interfaces with client satisfaction survey vendor and Marketing department to develop reports to be used in Performance Improvement initiatives throughout the organization.
• Sort, alphabetize and scan client documents accurately in client electronic medical records.
• Review medical records for completeness, assemble records into standard order, and file records in designated areas according to applicable alphabetic and numeric filing systems.
• Review files and documents in clients' electronic medical charts for accuracy.
• Respond to requests for information from files according to established policies and procedures.
• Maintain alphabetic filing system by organizing client records on shelves to ensure records are readily accessible by all departments.
• Respond to inquiries from Clinical staff pertaining to medical records. Comply with federal HIPAA regulations and practice policies for the privacy and security of client information; explain the law and our privacy policy to clients as needed; maintain appropriate documentation of access to medical records.

JOB QUALIFICATIONS

• Minimum of three (3) years of work experience in a compliance or quality assurance support role.
• Experience handling sensitive information with complete confidentiality.
• Thorough understanding of the importance of confidentiality and non-disclosure according to the general standards set forth by HIPAA.
• Knowledge of basic data processing procedures.
• Minimum 6 months medical records experience preferred.
• Knowledge of medical record keeping principles and practices and electronic medical records preferred.
• Knowledge of medical terminology, standard nomenclature and classification of diagnoses and operations preferred.
• Must meet pre-employment and maintain all applicable state and job-related guidelines for background screening, fingerprinting, drug testing, health screening, DMV, Insurance, CPR/Basic First Aid and license/credential verifications.
• Strong verbal and written communication skills.
• Advanced Excel skills including pivot tables and formulas.
• Experience maintaining policy and procedure documentation.