Job Description
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