Release of Information Quality Assurance Review Specialist I

Remote Full-time
Quality Assurance Review Specialist I

Summary of Position:
The Quality Assurance (QA) Review Specialist - performs review functions to ensure that disclosures of PHI and PI are accurate and complete and comply with client protocols, state and federal privacy laws and regulations and/or with policies and procedures regarding HIPAA, PHI and PI. This position may be performed remotely.

Duties & Responsibilities:
β€’ Reviews authorizations and requests for records to ensure that all pertinent information is contained on these forms and the dates are valid and relevant to the release process.
β€’ Verifies that the attached medical records correlate to the authorization and request and documentation encompasses that patient only.
β€’ Follows all Quality Assurance policies, procedures and job aids.
β€’ Proactively communicates with Manager or Supervisor regarding further clarification and when additional work is needed.
β€’ Actively participates with QA Team Meeting discussions.
β€’ Sends notifications to requestor when applicable
β€’ Communicates with company personnel in a professional and friendly manner
β€’ Communicates with Release of Information Specialists and Client Site Managers on issues pertaining to quality review.
β€’ Attends and completes on time, all required training sessions provided by Verisma
β€’ Meets accuracy standards and performance indicators established by the Company
β€’ Performs other appropriate duties as assigned to meet the needs of the department and the Company
β€’ Consistently live by and promote Verisma Core Values

Minimum Qualifications:
β€’ Must be detail oriented
β€’ HS Diploma or equivalent, additional education in Health Information is preferred
β€’ RHIT certification, CHDA certification or the ability to take and pass the course is preferred
β€’ Knowledge and ability to use components of Microsoft Office Suite to complete tasks and possess the ability to learn new software applications
β€’ 2 years’ experience in a professional office environment or healthcare setting, preferred with medical terminology knowledge
β€’ Knowledge of HIPAA and state regulations related to the release of Protected Health Information, preferred
β€’ Must be able to communicate clearly and concisely to relay information to other departments
β€’ Must be able to work independently

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