Healthcare Quality Assurance Specialist
5 days ago
Company Overview
InnovaCare is a leading provider of healthcare services, committed to delivering high-quality care to our patients.
Salary
The estimated salary for this position is $55,000 - $65,000 per year, depending on experience.
Job Description
We are seeking a highly motivated and organized Quality Coordinator to join our team. The successful candidate will provide quality support to the clinic team and patients, ensuring medical records remain up-to-date and the clinic meets regulatory and quality record standards.
The Quality Coordinator will be responsible for performing audits on all medical records, reviewing data to ensure accuracy, and assessing the quality of patient care. Strong knowledge of CMS stars rating process, Medicaid quality measures programs, and clinical standards and outcomes is essential.
Essential Job Functions
- Daily review of assigned provider's Cap patients and prepare for the next day.
- Daily review of quality in medical records, update records accordingly to aid preparing for the next day patient visits.
- Coordinate with office managers and QI director regarding quality gaps measures pending.
- Coordinate quality chart review requests from insurance companies, document, and follow-up with insurance companies.
- Identify and follow up with errors regarding billing or medical assistant's documentation detailing quality measures.
Requirements
- Must complete at least a two-year associate's degree through a technical school or community college.
- Two years of EHR/EMR system experience (eCW, NextGen preferred).
- 1-2 years healthcare experience as a quality coordinator preferred.
- One year Stars Rating/Medicaid quality measures experience.
Benefits
InnovaCare offers a competitive benefits package, including health insurance, retirement savings plan, and paid time off.
Others
This is a full-time position that requires strong communication and organizational skills. If you are a motivated and detail-oriented individual who is passionate about delivering high-quality healthcare services, we encourage you to apply.
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