Job Overview:

We are seeking a meticulous Medical Records Quality Assurance Manager to join our team. The ideal candidate will ensure that our systems and processes meet the highest standards of quality and efficiency. This position is not a remote opportunity.

Duties and Responsibilities:

Duties and Responsibilities:

· Run insurance eligibility every Monday, 1st, and 15th of the month for approx. 900 clients. Report on spreadsheet, update EMR, and notify staff of changes.

· Run and follow-up on Clinic Schedule Discrepancy report within a 3-week period

o Check for current auth

o Check for current tx plan

o Check for consistency of services

· Track and submit monthly ISRs to referral sources of DFCS, DJJ, Probation and other requested referral sources

· Track current and expiring Verified Diagnosis

· Assign Verification of Diagnosis to staff, monitor, and process once completed

· Enter authorizations into EMR for non-PA’s

· Process routine non-PAs as well as upon request

· POC for Biller when inquiring about diagnosis

· Serve as POC for Furniture Bank requests

· Serve as internal auditor for contact logs and service frequency issues.

o Ensure contacts logs are compliant with accrediting bodies and funding sources

o Communicate medical record discrepancies to responsible staff and/or contractors

§ Request missing document with identified deadlines

· Serve as Point of Contact for CMO audits/pre-pay reviews

o Gather all required documents for time-frame requested

o Review progress notes for accuracy of time, service code and content

o Communicate discrepancies with Program Clinical Director

o Organize audit-ready documents in preparation for delivery

· Track discharges and complete discharge letters to send to clients.

· Performs at established quantitative and qualitative work standards to meet company goals and objectives.

· Assist with paper file transfers to EMR as needed and during special projects.

· Complete medical records requests as needed/as back up.

· Other duties as required

Requirements:

- Minimum Job Requirements:

Bachelor’s Degree

• 3 years experience working in a community based mental health agency
• Demonstrated experience working Excel and Google Spreadsheet
• Ability to handle multiple responsibilities efficiently
• Sharenote experience preferred
• Extensive knowledge of HIPAA regulations and state and federal laws regarding release of information preferred.
• Problem Solving and critical thinking skills
• Must be timely and dependable

If you are passionate about ensuring the quality of healthcare systems and processes, we invite you to apply for this rewarding opportunity.

Job Type: Full-time

Pay: $50,000.00 - $55,000.00 per year

Benefits:

• 401(k) matching
• Dental insurance
• Health insurance
• Life insurance
• Paid time off
• Vision insurance

Schedule:

• Day shift
• Monday to Friday

Experience:

• Medical records: 1 year (Required)

Ability to Commute:

• Tucker, GA 30084 (Required)

Work Location: In person