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Clinical Quality Assurance Specialist

2 months ago

Minneapolis, Minnesota, United States SRI Tech Solutions Full time
Position Overview:

The Clinical Quality Audit Specialist plays a crucial role in ensuring the integrity and accuracy of clinical documentation within healthcare settings. This position requires a comprehensive understanding of electronic health records (EHR) and the ability to analyze and interpret clinical data effectively.

Key Responsibilities:
  • Conduct thorough audits of clinical documentation to ensure compliance with established standards.
  • Utilize knowledge of ICD-10 coding and medical terminology to assess the quality of clinical records.
  • Communicate findings and recommendations clearly to various stakeholders, demonstrating effective verbal and written communication skills.
  • Maintain a high level of attention to detail while reviewing medical records and identifying discrepancies.
  • Employ critical thinking skills to define problems, gather relevant data, and draw informed conclusions.
  • Organize and prioritize tasks efficiently in a fast-paced environment to meet audit deadlines.

Qualifications:
  • Must possess a valid LVN, LPN, or RN license.
  • Experience with electronic medical records systems such as Epic, GE Centricity, or NexGen is preferred.
  • Knowledge of HIPAA Privacy & Security regulations is essential.
  • Proficiency in Microsoft Office Suite, including Outlook, Excel, Word, OneNote, Visio, PowerPoint, and Teams.
  • Certification as a Medical Coder (CPC) is a plus, depending on experience and competency assessment.

Skills Required:
  • Strong organizational and problem-solving abilities.
  • Ability to work effectively in a high-volume production environment.
  • Proficient in reading and interpreting complex medical records.