Overview

QA Review – QA Review Specialist Jobs in United States at Verisma

Title: QA Review – QA Review Specialist

Company: Verisma

Location: United States

Quality Assurance (QA) 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

Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities, and activities may change at any time with or without notice.

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