QA Analyst

Responsibilities:

• Conducts quality assurance audits, ensuring standardization and compliance with established policies and procedures and applicable regulations.
• Prepares and presents quality and productivity reports to leaders.
• Identifies, researches, and documents process improvement opportunities and coordinates improvement activities and provides best practice coaching to staff.
• Identifies and recommends workflows in need of standardization, convenes area experts, and coordinates improvement activities necessary to develop standards.
• Identifies and recommends areas for staff education and prepares educational training materials in coordination with training team.
• Responsible for creating, maintaining and communicating all department policy and procedures.
• Function as back-up for leadership for related audit issues and in meetings as needed.
• Serve as liaison to Clinical Department & CP leadership on all billing, collection and reimbursement issues.
• Assists in the validation of billing software and practices to ensure quality standards are met. Serve as liaison to Clinical Department & CP leadership on all billing, collection and reimbursement issues.
• Respond to inquiries from billing, scheduling, and/or registration staff, or departments on appropriate procedures related to the billing of medical services.

Key Skills:

• Knowledge of a broad range of software applications and of hardware and networks.
• Strong programming knowledge.
• Mathematical skills.
• Problem-solving skills.
• A good understanding of business.
• Ability to think in the abstract and see how small details fit into the bigger picture.