2 Quality and Impact Specialist - Records (28358) Jobs in Beaverton, OR
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Quality and Impact Specialist - Records (28358)
$85k-97k (estimate)
Full Time
3 Weeks Ago
New Narrative is Hiring a Quality and Impact Specialist - Records (28358) Near Beaverton, OR
DescriptionSummary: This role promotes and supports quality of services within the organization, by completing key administrative tasks related to New Narrative clinical, residential, and peer operations. The primary function of this role will be to support with requesting necessary records for internal providers and supplying external stakeholders with requested records. The Quality Improvement Specialists works collaboratively with all staff to ensure high quality data entry, records management, and reviews to meet participant, auditor, contract, and staff requests. The position will assist in the evaluation of participant satisfaction, and the support of compliance, and coordinate with managers and leadership team members around ad hoc projects as necessary.
Essential Duties and Responsibilities:Records Acquisition and Management
Core Competencies:
Experience/Qualifications: Applicants with experience working in Credible and experience in HIPAA compliance a plus.
Essential Duties and Responsibilities:Records Acquisition and Management
- Fulfill medical records requests and fills records requests in accordance within deadline for audits, licensure, appeals, subpoenas, court orders, benefits inquiries, and external investigations
- Coordinates with agency-wide program participants in reviewing PHI requests, obtaining necessary documentation, advocacy amongst grievances and consumer feedback, and other projects as necessary.
- Support the Intake Specialist and Clinical Teams as needed to send/receive information from new participants consent documentation through DocuSign, email or USPS
- Support Medical Department with prior authorization needs
- Assists as needed in investigations regarding critical incidents, grievances/complaints, APS cases, appeals, etc.
- Assists teams in chart compliance by uploading scanned documents and attachments from residential teams
- Uploading and maintenance of external databases and mandated reporting (Collective Medical and MOTS)
- Assistance in a consumer survey planning, administration, data pulls, and analysis
- Conducts chart reviews alongside team members to assess for medical necessity, ensure record compliance, and predict training needs
- Supports agency credentialing, including tracking clinical credentials for all staff, individual and agency provider enrollment & reporting to payers, maintaining active credentials in EHR, auditing individual staff credential status and answering staff inquiries regarding credentialing as well as any ad hoc credentialing needs as identified by Human Resources, Billing, or Finance.
- Assists Health Systems Administrator and Medical Department with LabCorp pending invoices, sending results to clinical and pharmacy staff, and other care coordination needs
- Participates in planning agenda and completing minutes as necessary for monthly and quarterly QI meetings
- Ensures data transfer of identified documents from legacy electronic health record to Credible
- Navigates between legacy EHR and Credible as needed to ensure accessibility of documentation, insurance information, required forms, and billing information
- Data entry for content as needed between legacy EHR and Credible
- Initiated and maintain user profiles and assist end-users as needed
- Directly coordinate as directed with New Narrative Pharmacy staff to support data entry, data transfer, data retrieval between databases
Core Competencies:
- Communication: Direct, concise and collaborative. Keeps others informed. Listens effectively to others. Maintains positive and open communications with staff.
- Teamwork: Effective at working in team situations.
- Initiative/Results Oriented: Originates action. Finds ways to get things done.
- Quality: Promotes continuous improvement. Effectively utilizes data.
- Customer Responsiveness: Responds well to internal and external customer needs.
- Analytical Thinking: Attention to detail over sustained periods of time and ability to analyze data and recognize trends.
- Dependability: Counted on to follow through on commitments; at work each day and on time; work completed in a timely fashion.
- Aptitude: Ability to comprehend and apply new ideas, processes, procedures, or training.
- Organizational Awareness: Understands the culture of the organization; interests and concerns of various groups.
- Sensitive Information: Exposure to highly confidential information. Must maintain the highest level of discretion and organization’s security at all times.
- Motivate: On-going ability to motivate others and remain consistently enthusiastic.
- Demeanor: Remaining calm in crisis situations, empathetic, unbiased and excellent interpretation skills.
Experience/Qualifications: Applicants with experience working in Credible and experience in HIPAA compliance a plus.
Job Summary
JOB TYPE
Full Time
SALARY
$85k-97k (estimate)
POST DATE
08/24/2024
EXPIRATION DATE
09/20/2024
WEBSITE
new-narrative.com
HEADQUARTERS
Brooklyn, NY
SIZE
<25
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