Quality Assurance Review 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