Quality Assurance Specialist

HealthDrive•Framingham, MA

4d•$70,000 - $80,000•Hybrid

About The Position

HealthDrive is seeking full-time Quality Assurance Specialist to join our team! The QA Specialist will assist in ongoing regulatory and compliance activities under the direct supervision of the Vice President of Regulatory Affairs. The pay range for this position is $70,000 - $80,000 annual salary. We are conveniently located off Route 9 in Framingham, MA, close to routes 90 and 495 in a spacious modern office with a workout center available right in the building! What's in it for you: PPO Medical, Dental, and Vision Insurance, 401(k) + Company match, Paid Time Off, hybrid schedule opportunity, monthly meal program, Verizon Wireless, Dell, and other employee discounts, profit sharing, and employee referral bonuses. HealthDrive delivers on-site dentistry, optometry, podiatry, audiology, behavioral health, and primary care services to residents in long-term care, skilled nursing, and assisted living facilities. Each specialty offered by HealthDrive is one that directly impacts the quality of daily life for the deserving residents we serve. HealthDrive connects patients in need of vital healthcare to doctors committed to dignity and excellence.

Requirements

This position requires a person to have the ability to work in a team environment by building and maintaining positive working relationships with providers and other corporate personnel.
This individual must be a detail-oriented problem-solver, have knowledge of healthcare and medical terminology, and have excellent time management, interpersonal, verbal, and written communication.
This individual must have a bachelor’s degree or equivalent work experience.
Proficiency with Microsoft Word and Excel is essential.

Nice To Haves

Prior experience in healthcare is highly preferred
Clinical or certified coder background is helpful.

Responsibilities

Coordinate coding and documentation reviews of patient medical records to ensure provider billing practices are compliant with applicable rules, regulations, and policies.
Assess the accuracy, completeness, specificity, and appropriateness of diagnosis codes based on services rendered.
Assist with the assessment and implementation of educational materials.
Communicate with providers, staff, and practice directors to provide feedback related to QA, including follow-up as needed.
This may include coordination and participation in meetings with providers, staff, and directors and preparation of meeting materials (agendas, presentations, etc).
Other duties and tasks may be assigned as appropriate or necessary.