MSRDP Quality Assurance Specialist II - MSRDP - Quality Assurance
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- Insurance/Billing
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- Mar 19, 2018 Post Date
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- 310589 Requisition #
Security
Salary
Experience and Education
High school diploma or equivalent required.
Associate's degree in health or science discipline preferred
Five (5) years.' experience in three of the following areas of revenue cycle: billing, collections, payment posting, charge capture, or coding experience in healthcare environment.
One year EPIC experience required.
Job Duties
- Performs Revenue Cycle audits on MSRDP employees for medical, surgical, and billing operational departments for complete/appropriate data elements, action, and documentation on patient accounts to ensure timely resolution of claims.
- Researches issues, summarizes findings.
- Provides recommendations to management for training and coaching purposes.
- Keeps statistics and reports them to management for performance improvement opportunities.
- Handles critical workloads and/or department special projects as assigned.
- Investigates and responds to Quality Assurance inquiries, problems, questions or requests in timely and professional manner to ensure resolution.
- Process scheduled user audits timely and upon request, to support management of functions.
- Keeping all information regarding any audits and investigations in the Quality Assurance department in complete confidentiality.
- Process department audits and process investigations.
- Analysis for risk and improvements.
- Meet with other departments to discuss opportunities and gather information.
- Perform other duties as assigned.
UT Southwestern Medical Center is committed to an educational and working environment that provides equal opportunity to all members of the University community. In accordance with federal and state law, the University prohibits unlawful discrimination, including harassment, on the basis of: race; color; religion; national origin; gender, including sexual harassment; age; disability; citizenship; and veteran status. In addition, it is UT Southwestern policy to prohibit discrimination on the basis of sexual orientation, gender identity, or gender expression.