Job Description

The Medical Records Quality Assurance Specialist is responsible for ensuring the accuracy, completeness, and compliance of patient medical records to maintain high standards of documentation and patient care. This role involves conducting regular audits, identifying areas for improvement, and implementing quality control measures to support effective healthcare delivery and regulatory compliance.

Key Responsibilities:

• Under general supervision of the Senior Hospital Administrator, compiles, processes, and maintains medical records of hospital and clinic patients.
• Safeguards and protects the patient’s rights to privacy by ensuring that only authorized individuals have access to the patient’s medical information.
• Ensures that all releases of information are in compliance with the patients’ request, authorization, company policy and HIPAA statues.
• Maintains a professional health care office environment on a day-to-day basis, working with confidential and personal health information in a conscientious manner and providing patients and other requestors with the appropriate level of service.
• Engages in direct customer service and performs duties and conducts interpersonal relationships in a manner designed to project a positive image of the department and the Hospital.
• Works with team leaders, supervisors, managers, and other members of the department to promote a harmonious work environment.
• Interacts with requestors to identify medical records needed for patient care, review, billing or release of information.
• Prioritizes release of information requests, retrieves medical records from active and inactive and interdepartmental locations, electronically tracks and delivers records in accordance with established procedures.
• Performs self-quality checks on all work to assure accuracy of the release, confidentiality and proper invoicing.
• Handles all requests and inquiries for patient health information whether received via mail, fax, phone or in-person.
• Verifies the patient identity and confirms that the authorization is valid.
• Ensures the requesting party has a legal right to request a patient’s medical information.
• Provides excellent customer service by being attentive and respectful; ensures understanding of customer request and follows-through as promised; and being proactive in identifying client concerns, or problems. Helps resolve customer service matters in a polite manner.
• Accesses computerized patient record and other computer systems for patient information needed for faxing and for other requestors of the medical record.
• Performs at established quantitative and qualitative work standards to meet departmental goals and objectives.
• Promotes quality improvement, staff and patient safety, and cultural diversity through department operations and by personal performance.
• Provides service in a manner that is appropriate for the patient’s age; demonstrates knowledge and skills necessary to meet the patient’s physical, psychosocial, educational, and safety needs.
• Completes required organizational compliance education, including assigned requirements that are client-specified, for Joint Commission Healthcare Staffing Services certification or other regulatory bodies.

This list is non-exhaustive, and the role holder may be required to undertake additional duties that are not specifically listed above.

Qualifications

Basic Requirements/Certifications:

• Minimum 2-4 years of experience directly related to the administrative duties and responsibilities in a health care environment.
• Experience in using an electronic medical record and practice management system (APRIMA), training records, auditing, policy development and implementation, and configuration management.
• Background and experience in clinical education settings is highly desired.
• Experience in an accredited health care organization is highly desired.
• Advanced level computer skills in Microsoft Office, Word, and Excel with a commitment to learning new software.
• Knowledge of hospital medical records systems, processes, procedures and documentation standards.
• Strong organizational skills; knowledge of administrative and clerical procedures, managing files and records, establishing databases and designing forms.
• Demonstrated knowledge of current Joint Commission and NCQA PCMH standards, performance improvement and survey process.
• Ability to use independent judgment required to plan, prioritize, organize, and complete a diversified workload with minimum supervision and direction.
• Adaptable to shifting needs and evolving priorities.
• Skill in maintaining confidences regarding sensitive situations.
• Ability to communicate effectively, both orally and in writing.
• Knowledge of and implementation of quality assurance requirements associated with hospital and medical training processes.
• Knowledge of data collection techniques; ability to make evaluative judgments.
• Knowledge of Six Sigma program tools and methodologies and/or Six Sigma Certification is preferred.
• Application of Six Sigma tools in leading and participating in improvement projects is preferred.

Education Required:

• Associate degree or higher in health care or a related field.
• Extensive knowledge of current Joint Commission and NCQA PCMH standards.
• RHIT or CPEHR certifications are preferred.

Physical Requirements:

• Work is normally performed in a typical interior/office work environment.
• Work involves sitting and standing for prolonged periods of time.
• May require bending, stooping and lifting up to 15 lbs.

Other Special Qualifications:

• Must be able to read, write & speak English to effectively communicate
• This position is unaccompanied.
• US Citizen or Permanent Resident Card is required.
• US DOD CNACI or the ability to obtain one is required.
• A valid passport is required and must be in your possession prior to relocation.

Additional Information

Pay range is based on several factors and may vary in addition to a full range of medical, financial, and/or other benefits. Final salary and offer will be determined by the applicant’s background, experience, skills, internal equity, and alignment with geographical market data.

Benefits – Full-time positions are eligible for our comprehensive and competitive benefits package including medical, dental, vision, and basic life insurance. Additional benefits include a 401k plan paid time off and an annual bonus. International SOS Government Medical Services, Inc. complies with all federal, state, and local minimum wage laws.

International SOS Government Medical Services, Inc. is an equal opportunity employer and does not discriminate against employees or job applicants on the basis of race, color, religion, gender, sexual orientation, gender identity, national origin, age, disability, genetic information, marital status, amnesty or status as a covered veteran in accordance with the applicable federal, state and local laws.