Quality Assurance Specialist

2 weeks ago


Bellevue, Washington, United States EvergreenHealth Full time
Job Summary

We are seeking a highly skilled Quality Specialist to join our team at EvergreenHealth. As a key member of our quality management team, you will play a critical role in supporting and facilitating quality management and performance improvement programs and activities.

Key Responsibilities
  • Perform medical record reviews for documentation related to HEDIS and STAR measures for submission to contracted payors.
  • Review assigned medical records to verify clinical data elements for reporting, e.g., results of laboratory tests, verification of hypertension, and the most recent blood pressure reading.
  • Collaborate with practices and providers for the collection of required documentation and supplemental information.
  • Integrate data collected from a variety of electronic and paper sources.
  • Manage various data organized within Excel spreadsheets.
  • Identify findings supported by documentation guidelines with high level of accuracy.
  • Attend conference calls as necessary to provide information relating to clinical reviews and compliance.
Requirements
  • Associate Degree or equivalent combination of education and experience in healthcare.
  • LPN may be substituted for required education.
  • Familiarity with operations of healthcare industry and healthcare delivery systems.
  • Proficiency with Microsoft Office: Word, Excel, PowerPoint, and Adobe.
  • Strong communication skills.
  • Ability to work independently, detail-oriented, and prioritize work to meet deadlines.
Preferred Qualifications
  • Bachelor's Degree in healthcare-related field.
  • Experience working with population health management application (data entry, reporting).
  • Experience in medical record review.
  • Experience working in EHR systems.
Benefits

We offer a comprehensive benefits package, including medical, vision, and dental insurance, on-demand virtual healthcare, health savings account, flexible spending account, life and disability insurance, retirement plans, tuition assistance, and more.



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