The Quality Assurance Specialist (QA Specialist) has knowledge of documentation standards for a variety of payer systems and has knowledge in CPT, and ICD-10CM coding in a Behavioral Health Psychiatric outpatient practice environment.
The primary responsibility is focused monitoring and billing reviews to ensure compliance with existing contracts. Results of review will be submitted to the Quality Assurance Team Lead and Quality Assurance Supervisor, with summary results submitted to the Compliance Committee. QA Specialist may assist with making necessary edits or corrections to billing and documentation in the Ozark Center Electronic Medical Record. QA Specialist will have a basic understanding of healthy interaction with individuals impacted by a variety of behavioral health (addiction/substance use and mental health) issues, recognizing that the individuals we serve often times have experienced trauma that affects their development and adjustment. QA Specialist will be trained in trauma-informed care and will work to help create a work environment that is sensitive and responsive which will prevent victimization, abuse, or trauma. The QA Specialist reports to the Quality Assurance Team Lead.
Education: High school diploma or equivalent.
Work Experiences: A minimum of one (1) years experience in clinical/medical office.
Responsibilities:
• Conduct assigned monitoring and audits prior to deadlines and share those results with the Quality Assurance Team Lead and Quality Assurance Supervisor.
• Complete corrections to billing in the Electronic Medical Record using set procedures as assigned.
• Provide education and training for providers and staff regarding documentation requirements and procedures.
• Assist in compilation of the Incompletes Report and communicate with Program Directors, Assistant Directors and providers in its remediation.
• Assist the Quality Assurance Supervisor during audits by external parties/payers
• Remain up to date on contract documentation requirements.
The above statements are intended to describe the general nature and level of work performed by employees within this classification. It is not designed to contain or be interpreted as a comprehensive inventory of all duties, responsibilities, and qualifications required of employees assigned to this job. Other duties may be assigned.
Physical Requirements:
• Normal Office environment.
• Typical physical demands include prolonged sitting, frequent standing, bending, stooping, and occasional lifting up to 10 pounds.
• Requires normal range of hearing and manual dexterity sufficient to operate keyboard, telephone, photocopier, calculator, and other office equipment as needed.
• Requires ability to work under stressful conditions and to work irregular hours.
Locally owned and nationally recognized, Freeman Health System includes Freeman Hospital West, Freeman Hospital East, Freeman Neosho Hospital and Ozark Center – the area’s largest provider of behavioral health services – as well as two urgent care clinics, dozens of physician clinics and a variety of specialty services. A not-for-profit health system, Freeman provides cancer care, heart and vascular care, neurology and neurosurgery, orthopaedics, children’s services, and women’s services and has more than 300 physicians on staff. Additionally, Freeman is the only Children’s Miracle Network Hospital in a 70-mile radius.
Freeman offers a wide variety of career opportunities, a great work culture, and generous benefits. We like to think of our health system as a small city—in addition to clinical staff such as nurses and doctors, we also have accountants, groundskeepers, chefs, baristas, receptionists, security guards, shuttle bus drivers, and more! We consider all our employees to be caregivers, no matter their position, because they all make a difference in our patients’ lives in one way or another.
For more information or to view job listings, visit http://www.jointeamfreeman.com
