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Quality Assurance Specialist
3 months ago
POSITION SUMMARY
Alliance Home Health Group is seeking a Quality Assurance Specialist for home agency. The QA Specialist is responsible for maintaining client records with a focus on the quality assurance of the program. The incumbent will provide administrative support for all client documentation, such as the charting timetable, verifying the validity of clinical documentation, and maintaining the physical and electronic client records. The position supports the direct care staff and the clinical supervisor.
QUALIFICATIONS
- Must have previous experience as a QA in home health.
CORE COMPETENCIES
- Excellent organizational, analytical, computer and communication skills
- Must be detailed oriented, strong problem solving-skills, pro-active to resolve issues before they escalate
- Computer literacy with PCs computers.
- Ability to structure and perform routine tasks.
- Ability to work as a member of multi-disciplinary team.
RESPONSIBILITIES
- Reviews and assures consistency with the Comprehensive SOC OASIS Assessment and Plan of Care along with ensuring the discipline frequency correlates with the assessment data
- Reviews and processes timely all OASIS submissions, OASIS data-Transfer, ROC, RCT, Follow up visits, and OASIS discharges.
- Reviews charts for quality of care rendered, i.e., orders followed, appropriate contacts with physicians and other disciplines.
- Monitors for Declines or Improvement in patient outcomes
- Monitors compliance to policies and procedures including but not limited to clinical documentation.
- Active member of the QAPI Program
- Resolve charting issues in a timely and effective manner.
- Participates in the development of in-services and individual clinician training
- Responsible for the intake, admissions, discharges, and changes to diagnosis the electronic health records systems and billing systems.
- Create and maintain client records for assigned program(s) according to federal, state and local law, as well as agency policy.
- Monitor and track required documentation, ensuring accurate and valid completion according to established programmatic, county, and state guidelines.
- Conduct Quality Management Chart Review of all administrative, clinical, and medical documentation to ensure proper completion of documents.
- Validate and process client documentation completed by direct service staff.
- Communicate with treatment team regarding corrections or necessary changes for documentation, returning as needed.
- Maintain current chart status using the chart tracking tools and communicate with clinical team about needed/missing/incorrect documentation.
- Create document checklist for Clinical Supervisors to facilitate monthly chart review peer review preparation.
- Engage in peer review processes to ensure high quality records.
- Update program attendance and process requests for needed client reports.
- Process Record Requests in accordance with federal, state and local law and agency policy, as needed.
- Provide support of audits, such as the county or state audits
- Other duties as assigned by the Quality Assurance Manager.
