The Quality Control Specialist is responsible for reviewing electronic medical records and conducting quality control on each record to ensure we are within HIPAA (Heath Insurance Portability and Accountability) guidelines. This position requires a high attention to detail, while producing quality work at all times.
Essential Job Functions:
- Ability to check electronic records for HIPAA compliance, compliance with request and authorization limits
- Ability to review a document and determine if we have 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:
- 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