Part-time Quality Assurance Specialist
Description


  • Responsible for all aspects of quality audits: audit sample production, audit reviews performed and documented to standards, summary of results to management, perform audit training and draft training memorandums, maintain all audit files, and update work process, system, and/or policy as dictated by audit results and management direction.
  • Audit and score a pre-determined number of calls and/or accounts on a regular, random or scheduled basis.
  • Work with management to communicate all quality related performance feedback to hourly staff.
  • Assist supervisors in accomplishment of employee goals
  • Maintain and administer the Quality database.
  • Provide detailed reporting on the result of monthly Quality reviews to management.
  • Work with management to administer quality recognition and rewards for hourly representatives.
  • Perform special requests and schedule monthly or bi-monthly unit audits as required or requested.  The results must be logged and reported in database.
  • Administer the complaint process. Log and notify management of complaints and follow up as needed.
  • Comply with HIPAA compliance guidelines, policies and procedures to assure confidential information is protected in accordance with the HIPAA rules and regulations.
  • Act as a resource on projects
  • Other duties as assigned.

Physical Demands:

The physical demands described here are the representative of those that must be met by an employee to successfully perform the essential function of this job.  Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

While performing the duties of this job, the employee is occasionally required to stand; walk; sit; use hands to finger, handle, or feel; reach with hands and arms; climb or balance; stoop, kneel, crouch, or crawl; talk or hear.  The employee must occasionally lift and/or move up to 25 pounds.

Work Environment:

This position is a part-time position with the potential to work remotely from home. 


The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of the job.  Reasonable accommodations may be made to enable individuals to perform the essential functions.

While performing the duties of this job, the employee is exposed to computer screens using keyboard functions and other hand usage.

**The job description does not constitute an employment agreement between the employer and employee and is subject to change by the employer as the needs of the employer and requirements of the job change.  The duties listed above are intended only as illustrations of the various types of work that may be performed.  The omission of specific statements of duties does not exclude them from the position if the work is similar, related or a logical assignment to the position.

Requirements

Qualification Requirements:

  • At least 3 years of medical coding experience
  • Certified Professional Coder (CPC) through AAPC or CCS certification through AHIMA
  • 2-years in production environment required
  • Strong computer skills required
  • Healthcare collections experience required
  • Excellent communication skills.
  • Excellent decision making ability
  • Must have high integrity
  • Extensive attention to detail.
  • Excellent time management skills
  • College degree or equivalent work experience preferred
  • Ability to work independently
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