Quality Assurance Coordinator

• The QA Coordinator is responsible for providing support for quality assessment and performance improvement activities that include quality monitoring, evaluation and facilitation of performance improvement projects.
• Follows most recent documentation and coding guidelines 
• Uses only pre-approved source documents as validation for recommendations on documentation that meets the technical specifications in support of a measure
• Assists with all quality measures initiatives – working with the PCP offices in capturing the data to support the variables.
• Works all Gap reports for 5 STAR and assists with the ACO GPRO quality measures projects as they become relevant and assists with all quality initiatives as needed.
• Process and manage member and provider communications as appropriate to each project.
• Assists in teaching any office staff and/or providers in proper documentation and coding guidelines as necessary
• Reports any issues to Quality, Compliance and Operations as necessary.
• Responds to inquiries regarding this area of expertise. 
• Accurately enters all identified and validated measures into the practice’s EMR – if necessary to aid the CCDIs, may enter validated conditions as indicated by the CCDIs into the EMR
• Assists in all RAPS submission projects as they occur if needed in back-up to the CCDIs
• Assist in the preparation of quality and safety data reports for committees and meetings.
• Prepare meeting materials and create meeting quality improvement minutes when warranted
• Performs Quality education to providers/staff.
• Performs all other coding and documentation reviews and/or projects as asked and assists/coordinates strategies as defined by the department head or assistant.

Required Skills/Abilities:

• Excellent verbal and written communication skills. 
• Excellent organizational skills and attention to detail.
• Excellent time management skills with a proven ability to meet deadlines.
• Proficient with Microsoft Office Suite (Word and Excel) or related software.
• Communication / Coordinate sharing of pertaining information accurately.
• Critical Thinking / Problem solving/Computer
• Has proficient knowledge and experience working with an EHR system.
• Ability to travel.
• Ability to read and analyze medical records.
• Knowledge and understanding of ICD -9/10 , CPT codes and QIP measures – CPC or CSSP is a plus
• Understands documentation, coding and billing guidelines as well as how to read the technical specifications on all quality initiatives.

Supervisor Responsibilities:

• None.

Education and Experience:

• Prefer candidate to have some medical record or quality background and current ICD-9/10 coding education.
• 1-2 years of documentation or medical records experience in any part of the medical continuum.
• Must demonstrate the ability to utilize Excel and WORD via assessment at interview.

Physical Requirements:

• Prolonged periods of sitting at a desk and working on a computer.
• While performing the duties of this job the employee is regularly required to sit, use hands and arms, talk and hear.
• Must be able to lift up to 10 pounds at times.

Benefits:

• Health insurance
• Dental Insurance
• Vision insurance
• Life insurance
• 401(k)
• Paid time off

Schedule:

• 8 hour shift
• Day shift
• Monday to Friday

Job Type: Hybrid