2021 Quality Assurance Analyst

2021 Quality Assurance Analyst (Start ASAP)

Cebu City (Currently on Temp WFH Setup. We will go back to the office once things go back to normal.)

Opportunity Expired

They provide expertise into quality performance that will inform quality improvement strategy and resource investment to improve quality performance.

• 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

Hiring criteria

You should have or be completing the following to apply for this opportunity.

Entry pathway

Degree or Certificate

Minimum Level of Study

Bachelor or higher

Study Field

M

Work rights

The opportunity is available to applicants in any of the following categories.