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Job description
Quality SpecialistSchedule: Monday-Friday with flexible hoursPay Range: $ per hour, dependent on experience and level of educationSummary Of Job Duties:The person handling this position is responsible for communicating open gaps in Quality Measures to providers and staff in assigned clinic. They will be responsible for ensuring all patients scheduled for an appointment undergo an extensive chart review for any Quality measures that have been completed but not billed to insurance. This person is also responsible for making sure completed Quality Measures are billed to the appropriate insurance plan.Essential Job Functions:Make sure all pertinent open Quality Measures are communicated with provider and staffResponsible for pulling open gap reports to identify open Quality MeasuresMake sure all appropriate CPT II and ICD-10 codes go out on claimsPerform in-house testing such as Hemoglobin A1c, urinalysis and DM Retinopathy ScreeningsReach out to patients with open Quality MeasuresCommunicate with facilities for Quality Measure resultsMinimum Requirements:Minimum of 2 years' experience in a healthcare setting as Medical Assistant (primary care experience is preferred)High School Diploma or equivalent is requiredAssociate degree or equivalent from two-year college or technical school in medical billing, medical records or related field is preferredExperience in primary care office, billing/coding, front and back office preferredAthena EHR experience preferredKnowledge/Skills/Abilities:Ability to handle multi-functions/multi-tasksAbility to solve problems and adapt to a fast-paced work environmentPay attention to detail, function autonomouslyUnderstanding of community-based organizationsAbility to effectively communicate with the medical staff and Practice AdministratorsBasic knowledge of Medical Insurance and CPT coding knowledge/experience preferredGeneral knowledge of primary care practice, medical clinics, and medical terminologyExcellent verbal and written communication skillsStrong computer skills with knowledge of Microsoft Office applicationsAble to effectively utilize an electronic health recordInterpersonal skillsAbility to build relationships, listen effectively, and understand the needs of the healthcare providers is vitalWorking Environment:This position is an in-office position (not eligible for remote). The position requires climbing, stooping, kneeling, crouching, reaching, standing, lifting, grasping, feeling, talking, hearing, repetitive motions, and finger use. Pushing and pulling are occasionally required. Use of a computer, keyboard, and telephone along with various office machines is an essential part of the job.Disclaimer:The above statements are intended to describe the general nature and level of work being performed by the Quality Specialist. They are not to be construed as an exhaustive list of all responsibilities, duties, and skills required of personnel so classified. The Quality Specialist may be required to perform duties outside of their normal responsibilities from time to time as needed or as directed by supervision.
Worksite address
pell city, AL, 35128, US
Who can apply
Review the original listing for work authorization, qualifications and employer requirements.