Release of Information Quality Assurance Review Specialist I

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

• 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.

• Verifies that the attached medical records correlate to the authorization and request and documentation encompasses that patient only.

• Follows all Quality Assurance policies, procedures and job aids.

• Proactively communicates with Manager or Supervisor regarding further clarification and when additional work is needed.

• Actively participates with QA Team Meeting discussions.

• Sends notifications to requestor when applicable

• Communicates with company personnel in a professional and friendly manner

• Communicates with Release of Information Specialists and Client Site Managers on issues pertaining to quality review.

• Attends and completes on time, all required training sessions provided by Verisma

• Meets accuracy standards and performance indicators established by the Company

• Performs other appropriate duties as assigned to meet the needs of the department and the Company

• Consistently live by and promote Verisma Core Values

Minimum Qualifications

• Must be detail oriented

• HS Diploma or equivalent, additional education in Health Information is preferred

• RHIT certification, CHDA certification or the ability to take and pass the course is preferred

• Knowledge and ability to use components of Microsoft Office Suite to complete tasks and possess the ability to learn new software applications

• 2 years’ experience in a professional office environment or healthcare setting, preferred with medical terminology knowledge

• Knowledge of HIPAA and state regulations related to the release of Protected Health Information, preferred

• Must be able to communicate clearly and concisely to relay information to other departments

• Must be able to work independently