Quality Reviewer

Lexington Medical Center

3d

About The Position

Reporting to the Director/Medical Director, the Quality Reviewer carries out audits for chart QA and charges on all Radiation Medicine patients. The reviewer ensures accounts are prepared for final billing in an accurate and timely manner with Corporate Compliance. The Reviewer manages and reports departmental data for statistical trending and evaluation of services and implements reports for specific Departmental needs. The Reviewer monitors and facilitates patient satisfaction, recommending enhanced services and improved processes. The Reviewer ensures Departmental compliance with HIPAA policies and regulations.

Requirements

• Minimum Education: Bachelor's Degree in Health Care or Management Field
• Minimum Years of Experience: 5 Years previous experience as a Registered Therapist
• Substitutable Education & Experience: None.
• Required Certifications/Licensure: ARRT in Radiation Therapy
• Current SC License.
• Required Training: Computer literate
• Knowledge of billing.

Responsibilities

• Promotes a quality environment conducive to exceptional Radiation Oncology services.
• Monitors and assesses environment of care specific to patient satisfaction. Makes recommendations for enhanced services and processes.
• Works with the Director and staff to minimize or eliminate barriers to quality care.
• Audits and reviews Radiation Oncology charts on a weekly basis for accuracy and thoroughness in charting, documentation, and charging.
• Serves on the Department’s CQI Committee.
• Demonstrates competence to provide developmentally appropriate care/treatment for the following patient populations: Adolescent (13 years through 17 years), Adult (18 years to 65 years), Geriatric (Over 65 years).
• Makes recommendations to Management for tools and resources needed to enhance patient satisfaction and services.
• Generates and Reports monthly and yearly statistical data for Accounting, LMC Administration, and DHEC.
• Tracks and trends statistical data for Director/internal Departmental review.
• Implements ARIA reports and custom EPIC reports for staff and physicians for the purpose of enhancing workflow and assessing volume and referral trends.
• Discharges all HRON accounts which are no longer active.
• Reviews all charts upon initiation and completion and properly ICD codes them for efficient and accurate final billing.
• Maintains up-to-date chargemaster, staying current with latest CPT rules and reimbursement issues.
• Performs all other duties as assigned.

Benefits

• Day ONE medical, dental and life insurance benefits
• Health care and dependent care flexible spending accounts (FSAs)
• Employees are eligible for enrollment into the 403(b) match plan day one. LHI matches dollar for dollar up to 6%.
• Employer paid life insurance – equal to 1x salary
• Employee may elect supplemental life insurance with low cost premiums up to 3x salary
• Adoption assistance
• LHI provides its full-time employees employer paid short-term disability and long-term disability coverage after 90 days of eligible employment
• Tuition reimbursement
• Student loan forgiveness

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Number of Employees: 5,001-10,000 employees