Revenue Cycle Quality Assurance Specialist

4 days left

Location
Washington, District of Columbia-Washington
Posted
Aug 19, 2020
Closes
Sep 23, 2020
Ref
200000HU
Function
Nurse
Industry
Healthcare
Hours
Full Time
The Revenue Cycle QA Specialist will partner with Operations Leaders and Revenue Cycle leadership to identify areas for improvement as it is relates to front end process. This includes charge reconciliation and charge posting within scheduling and registration systems. The Revenue Cycle QA specialist will report to the Director of Patient Access and will assist in the quality assurance and analytics process surrounding Revenue Cycle functions.

Qualifications

Minimum Education

High School Diploma or GED (Required)

Bachelor's Degree - Health related or business related field. (Preferred)

Minimum Work Experience

2 years - Charge reconciliation and charge posting experience. (Required)

5 years - Revenue cycle operations, business operations, and patient access experience. Prior auditing and quality assurance experience within scheduling and registration systems. (Required)

Specific Requirements and Preferences
Demonstrated experience in developing and conducting employee training programs, especially for scheduling and registration systems. (Required)
Experience using Microsoft Publisher, Microsoft office, internet and CNMC Intranet (Required)
Medical Coding experience (Preferred)

Functional Accountabilities

Staff Training and Development
1. Assist in the design, development and coordination of training sessions, programs and competency testing for Practice Operations staff.
2. Prepare, assemble and revise course materials as requested.
3. Conduct training, development, competency testing and general clinic orientation sessions for Practice Operations staff.

Training Logistics
1. Coordinate scheduling of external and internal training resources.
2. Prepare course advertising materials.
3. Maintain master training calendar; ensure availability of equipment, space, materials and supplies.
4. Maintain training documentation, include registration and completion records.

Safety
1. Speak up when team members appear to exhibit unsafe behavior or performance
2. Continuously validate and verify information needed for decision making or documentation
3. Stop in the face of uncertainty and takes time to resolve the situation
4. Demonstrate accurate, clear and timely verbal and written communication
5. Actively promote safety for patients, families, visitors and co-workers
6. Attend carefully to important details - practicing Stop, Think, Act and Review in order to self-check behavior and performance

Organizational Accountabilities
Training Data Analysis
1. Compile results of feedback tool and evaluate feedback trends.
2. Compile training and development data and assist in recommending program/course modifications.
3. Participate in identifying organizational training needs.
4. Assist in determining priorities for training sessions.
5. Assist in identifying resources to meet training objectives.

Organizational Commitment/Identification
1. Partner in the mission and upholds the core principles of the organization
2. Committed to diversity and recognizes value of cultural ethnic differences
3. Demonstrate personal and professional integrity
4. Maintain confidentiality at all times

Customer Service
1. Anticipate and responds to customer needs; follows up until needs are met

Teamwork/Communication
1. Demonstrate collaborative and respectful behavior
2. Partner with all team members to achieve goals
3. Receptive to others' ideas and opinions

Performance Improvement/Problem-solving
1. Contribute to a positive work environment
2. Demonstrate flexibility and willingness to change
3. Identify opportunities to improve clinical and administrative processes
4. Make appropriate decisions, using sound judgment

Cost Management/Financial Responsibility
1. Use resources efficiently
2. Search for less costly ways of doing things

Children's National Health System is an equal opportunity employer that evaluates qualified applicants without regard to race, color, national origin, religion, sex, age, marital status, disability, veteran status, sexual orientation, gender, identity, or other characteristics protected by law.

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