• Record Review Analyst

    Requisition ID
    2018-3384
    # of Openings
    1
    Category
    Operations
    Location
    US-MO-Springfield
  • Overview

    The Summary Quality Assurance Specialist is responsible for navigating medical and/or billing documents to extract required information and composing a summarization case report of the highest quality and integrity and in full compliance with client contractual agreements.

    Responsibilities

    • Fully understand the process to review and analyze medical and/or billing records and other medical documentation, to extract pertinent information, and prepare an accurate written summary of care provided by each provider/facility.
    • Ensure all client instructions and specifications have been followed.
    • Ensure the content, format and professional appearance of the reports generated are of the highest quality and in compliance with company standards.
    • Assist in resolution of customer complaints and quality assurance issues as needed.
    • Prioritize work in order to meet or exceed client deadlines with the ability to complete STAT orders as requested.
    • Demonstrate ability to work independently while promoting a positive team-oriented environment, working with clients, sales personnel, program developers and management.
    • Maintain consistent work flow and quality of product.
    • Demonstrate reliability and abide by the company attendance policy.
    • Other duties as needed and assigned.

    Qualifications

    Educational Requirements

     

    • High School Diploma
    • A minimum of two years of medical or billing summarization or related field experience; or equivalent combination of education and experience. Knowledge of the insurance or legal industry is desired.

    Experience, Skills and Abilities

    • Experience with electronic medical records or EMR systems
    • Advanced knowledge of medicine and common medical practices.
    • Knowledge of legal and medical terminology and abbreviations required.
    • Ability to read, analyze and interpret common correspondence, medical records, itemized billing statements and documents.
    • Ability to write clearly and informatively to all required audiences and edit own work for appropriate English usage, grammar, spelling, punctuation and style.
    • Maintain confidentiality of all Personal Health Information as dictated by HIPAA laws
    • Excellent computer skills and experience with associated software programs, including Word, Outlook, Excel, Adobe and the Internet
    • Strong organization with demonstrated accuracy and attention to detail
    • Demonstrate ability to manage change and work well in stressful deadline situations.
    • Ability to work independently or as part of a team.
    • Ability to type a minimum of 40-45 wpm

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