2021 Quality Assurance Analyst null

Responsibilities:

• Collaborate extensively with MD/NP, and entire interdisciplinary team to improve quality and completeness of documentation of care provided and coded
• Assist in the collection and analysis of risk adjustment data in order to identify documentation, coding trends and opportunities
• Audit medical documentation for accuracy of coding, conflicting or incomplete data.
• Provide feedback to the team, providers and external/internal business partners of audit findings and make recommendations as necessary.
• Keeps current with changes in coding guidelines, compliance, and other relevant regulatory updates
• Participate in the development and coordination of education and training that focuses on Risk Adjustment coding and documentation opportunities utilizing a variety of methods to deliver content, such as direct provider collaboration, dashboard and reporting tools, teleconferences and webinars.
• Collaborate with team members to achieve department objectives and ensure internal risk adjustment compliance and standards are maintained
• Assume responsibility for professional development by participating in workshops, conferences and/ or in-services.
• Assist with coding chart review projects and RADV audits
• Keep self abreast with current EMR technology and provide recommendations for improvement of IMS

Requirements:

• Bachelor's degree holder, preferably in the medical field
• Confident, motivated and with excellent follow-through skills
• Have vast knowledge of different EHR platform
• Previous experience with Clinical documentation analysis is preferred
• Must score exceptionally high in our Aptitude exams
• Must be willing to work in graveyard shift and on weekends