QA Training Specialist

Genesis Healthcare System•Moline, IL

80d•Onsite

About The Position

In order to fill our Mission of serving our community by helping each person achieve optimal health and well-being by providing compassionate, exceptional, and affordable healthcare services, all employees of Genesis HealthCare System must be committed to living the Genesis Mission and Genesis values of Compassion, Excellence, Integrity, Team, and Innovation. All employees must regard themselves as an ‘owner’ of Genesis and keep our patients at the center of everything we do - always. Position Details: Work Shift: Day Shift (United States of America) Scheduled Weekly Hours: 0 Department: Patient Access Center Overview of Position: This position is responsible for conducting the quality assurance and training needs assessment, strategy and plan for the department. Creates training materials, including job aids, schedules and facilitates training sessions including orientation and continuing education activities. Measures and reports training outcomes. The position is responsible for staff audits of the revenue cycle as well as outcomes and activities in order to ensure data integrity and compliance of process guidelines.

Requirements

Associates degree in Healthcare or Business Administration, Finance, Accounting or a related field, or an equivalent combination of years of education and related work experience.
Must possess teaching skills that enhance user learning and involvement. Ability to convey complicated information to end-users in a concise, user-friendly manner that ensures user competency and process compliance, while energizing users’ discussion and input.
Excellent verbal and written communication skills in working with a wide variety of audiences.
Proficient in the use of computer software products such as Excel, Word, PowerPoint, and Visio.
Demonstrated ability to understand all facets of the revenue cycle.
Ability to be a change agent/leader, coach, and mentor.
Excellent problem solving and conflict management skills.
Ability to work independently in setting and organizing work priorities, while adapting to change frequently. Must be able to work concurrently on a variety of tasks/projects.

Responsibilities

Conducts needs assessment using interviews, questionnaires, review of competency tests, group problems analysis, and examination of existing records and reports.
Provides training and educational opportunities in revenue cycle systems, policies/procedures/guidelines and processes.
Facilitates learning through lecture and demonstration-based instruction. Adjusts instruction methods to meet participant needs. Provides feedback to participants during the training session, as well as feedback to management of the participant’s competency.
Assists with documenting annual quality assurance/training strategy and plan.
Maintains program records, including course completion, participants’ competency testing results, and certifications to ensure staff maintains annual education guidelines.
Works with revenue cycle and clinical staff, service line leadership, and others in order to expedite the charge capture, registration/intake, and billing/follow-up processes. Provides education to physician and physician office personnel in regard to revenue cycle, as required.
Performs audit functions in a concise, timely and professional manner. Activities include data retrieval and review; error identification and correction; documentation and display of data; identification of trends; and recommendation of improvements.
Assists manager in monitoring and coordinating responses to the latest regulatory billing/payment requirements of the federal, state and 3rd party payers to ensure compliance.
Maintain Account, Claim Edit and Patient Work queues daily
Completes trending of errors and builds educational opportunities to mitigate future issues.
Provides quality monitoring to ensure compliance with department policies and procedures.
Train new employees a. Classroom based EPIC training b. Guide new employees in 16 hours of playground training/practice environment c. Present new employees with Department/Job Overview training
Create/Maintain department informational documents for employees regarding training
Educate/Re-educate existing staff on processes/procedures (new and old)
Builds Training schedule for new staff a. Includes Reservation/Scheduling of Classrooms, Conference Rooms, etc. for training
Participates in Epic upgrade and system testing for new functionality.
Ensures electronic data processing (EDP) systems and system mapping/coding structures are maintained to minimize manual processing and maximize claims acceptance and reimbursement.
Establishes monitoring tools and oversees data collection and analysis. Communicates data to appropriate areas in a timely, effective manner. Analyses data screens, edit reports (DNFB, denial follow-up, pre-bill edits, etc.), source documents, batch proofs, and custom reports. Utilizes outcomes in the development of future educational programs or system/process redesign.
May prepare special reports as directed by the manager to document performance and training outcomes.
May serve as relief support to department personnel as the work schedule or workload permits. Cross trains in various functions to assist in the smooth delivery of departmental services.
Maintains a working knowledge of applicable Federal, State, and local laws and regulations, standards of conduct, as well as other policies and procedures.