Quality Control Specialist

About the Role

The Quality Control Specialist is responsible for reviewing electronic medical records and conducting quality control on each record to ensure compliance with HIPAA guidelines. This position requires a high attention to detail, while producing quality work at all times.

Key Responsibilities

• Ability to check electronic records for HIPAA compliance, compliance with request and authorization limits
• Ability to review a document and determine the legal right to release medical records based on HIPAA rules and regulations
• Communicate questions/issues to Lead/Supervisor
• Work as a mentor to new employees
• Adhere to state and Federal Laws for Release of Information (ROI)

Specific Skills/Attributes

• High attention to detail
• Strong time management skills
• Ability to work in a fast-paced, production-oriented environment
• Ability to work well with others within a team environment
• High level of reliability and productivity
• Must be computer literate; able to use MS Outlook and other Windows-based programs
• Excellent communication skills

Qualifications

• Minimum of 6 months previous experience in a medical record setting
• Required to pass an industry-related course and exam within six months of hire

HIPAA/Compliance

• Maintain privacy of all patient, employee, and volunteer information and access such information only on a need-to-know basis for business purposes.
• Comply with all regulations regarding corporate integrity and security obligations.
• Report unethical, fraudulent, or unlawful behavior or activity.
• Maintain current and yearly HIPAA certification.

Information Governance Accountabilities

• A high-level understanding of the organization’s information governance program and role-specific accountabilities.
• A thorough understanding of role requirements, including policies, procedures and processes, to include how individual work impacts the organization and its strategic and financial goals; and how tasks and projects affect the integrity of the organization’s data and information.
• Commitment to discuss questions and recommendations about processes and any observed variations in performing tasks in order to ensure a standardized approach to work and services provided.
• Participation in education as required for corporate compliance and role-specific functions and tasks.

Physical Requirements

• Ability to sit or stand for long periods of time.
• Physical ability to lift and carry 25 lbs. of materials.
• Manual dexterity and strength sufficient enough to enter information via computer keyboard for long periods of time, to write notes and information needed, and to pick up and hold paperwork, supplies and other items.
• Eyesight sufficient to effectively read documents and to accurately view information on a computer monitor.
• Speaking and hearing ability sufficient to effectively communicate.
• Eye/hand coordination, hearing and visual acuity necessary for day-to-day tasks.