Quality Assurance Specialist
2 weeks ago
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.
- 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.
- 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.
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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