Quality Operations Coordinator
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WelbeHealthHealthcare quality
Location: Remote, CA, USAFull-TimeJunior
Salary$26.89 — $35.50 USD
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Job Details
- Experience
- Minimum two (2) years’ work experience in a healthcare setting or related areas
- Required Skills
- Microsoft OfficeDocumentationProcess improvement
Requirements
- Associate’s degree preferred; three years’ experience may substitute for education.
- Minimum two years’ work experience in a healthcare setting or related areas.
- Familiarity with healthcare quality standards and auditing.
- Familiarity with regulatory requirements and documentation practices.
- Experience maintaining operational controls in a regulated environment.
- Experience with grievances, complaints, appeals, or member/provider issues in healthcare, health plan, managed care, PACE, or another regulated healthcare environment is highly desired.
- Intermediate to advanced proficiency with the Microsoft Office suite is desired.
- Ability to multitask in a challenging environment.
- Strong communication, listening, and organization skills.
Responsibilities
- Identify potential deficiencies and monitor appropriate corrections to ensure data integrity in the EHR.
- Monitor participant medical records for complete and timely documentation and report policy or procedure issues to the Quality Operations Supervisor.
- Conduct medical records audits to verify required documentation is timely and accurate.
- Prepare documents, including universe lists, for audit desk review submissions.
- Assist with EMR navigation and impact analysis during WelbeHealth audits.
- Review and reconcile assigned regulatory logs.
- Participate in team documentation, process improvements, and other Quality Operations initiatives.
- Complete required investigations, notifications, and assigned tasks accurately and on time.
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