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
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