What are the responsibilities and job description for the QI Coordinator, Medical Records position at Regal Medical Group?
Job Description
Summary of Position :
The QI Coordinator, Medical Records reports to the Director of QI and supports the QI Nurse Medical Record Auditor in coordinating and facilitating the retrieval of medical records from provider offices for ongoing monitoring, health plan audits, and ad hoc requests from regulatory bodies. The QI Coordinator is responsible for performing non-clinical medical record reviews to ensure regulatory compliance and maintain the quality of daily QI activities. In this role, the QI Coordinator will work closely with the QI Nurse Specialist, management team, internal departments, and provider offices to promote efficient and effective QI processes that do not require clinical decision-making. Additionally, this position will support various projects as directed by the QI Nurse Specialist and the management team.
Essential Duties and Responsibilities include the following :
- Assist the QI Nurse in conducting clinical audits by coordinating the collection and preparation of medical records from provider offices.
- Facilitate the retrieval of medical records for audits, health plan reviews, and regulatory reviews, ensuring timely and complete submissions.
- Organize and maintain medical record documentation, ensuring it adheres to regulatory standards.
- Act as a liaison between the QI Nurse, providers, and internal departments to coordinate the flow of information and documentation.
- Collaborate with the QI Nurse to ensure all documentation is accurate and complete for regulatory compliance and quality assurance.
- Assist in preparing reports and summaries of audit findings for internal review and submission to regulatory bodies or health plans.
- Monitor the progress of ongoing medical record audits, ensuring deadlines and quality standards are met.
- Coordinate special projects as directed by the QI Nurse and management team, including supporting quality improvement initiatives.
- Help implement corrective actions and follow-up audits for providers identified as non-compliant with documentation standards.
- Provide administrative support in managing audit schedules, tracking provider performance, and organizing project deliverables.
- Assist in developing tools and protocols to improve the efficiency of medical record retrieval and review processes.
- Stay informed on updates to Medi-Cal program guidelines, regulations, and best practices related to medical record documentation.
- Participate in meetings and trainings to align audit coordination with broader quality improvement goals.
- Coordinate with providers to resolve any issues or delays in medical record retrieval, facilitating smooth audit processes.
- Support the QI Nurse with ongoing quality assurance tasks and project management activities.
- Maintain up-to-date and accurate documentation of all audit-related activities in internal databases.
- Assist with the education of providers on proper documentation practices as needed, based on audit findings.
- Maintain confidentiality and security of medical records and audit data in compliance with HIPAA regulations.
Policies :
The pay range for this position at commencement of employment is expected to be between$23 - $25 per hour; however, base pay offered may vary depending on multiple individualized factors, including market location, job-related knowledge, licensure, skills, and experience.
The total compensation package for this position may also include other elements, including a sign-on bonus and discretionary awards in addition to a full range of medical, financial, and / or other benefits (including 401(k) eligibility and various paid time off benefits, such as vacation, sick time, and parental leave), dependent on the position offered.
Details of participation in these benefit plans will be provided if an employee receives an offer of employment.
If hired, employee will be in an “at-will position” and the Company reserves the right to modify base salary (as well as any other discretionary payment or compensation program) at any time, including for reasons related to individual performance, Company or individual department / team performance, and market factors.
As one of the fastest growing Independent Physician Associations in Southern California, Regal Medical Group, Lakeside Community Healthcare Affiliated Doctors of Orange County, offers a fast-paced, exciting, welcoming and supportive work environment. Opportunities abound, and enterprising, capable, focused people prosper with us. We promote teamwork, nurture learning, and encourage advancement for all of our employees. We want to see you excel, because we believe that your success is our success.
Full Time Position Benefits :
The success of any company depends on its employees. For us, employee satisfaction is crucial not only to the well-being of our organization, but also to the health and wellness of our members. As such, we are firmly dedicated to providing our employees the options and resources necessary for building security and maintaining a healthy balance between work and life.
Our dedication to our staff is evident in our comprehensive benefits package. We offer a very generous mixture of benefits, including many employer-paid options.
Health and Wellness :
Employer-paid comprehensive medical, pharmacy, and dental for employees
Vision insurance
Zero co-payments for employed physician office visits
Flexible Spending Account (FSA)
Employer-Paid Life Insurance
Employee Assistance Program (EAP)
Behavioral Health Services
Savings and Retirement :
401k Retirement Savings Plan
Income Protection Insurance
Other Benefits : Vacation Time
Company celebrations
Employee Assistance Program
Employee Referral Bonus
Tuition Reimbursement
License Renewal CEU Cost Reimbursement Program
Business-casual working environment
Sick days
Paid holidays
Mileage
Employer will consider for employment qualified applicants with criminal histories in a manner consistent with the requirements of the LA City Fair Chance Initiative for Hiring Ordinance.
Requirements
Education and / or Experience :
Salary : $23 - $25
