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Quality Specialist

Company: Path Integrated Healthcare
Location: Cincinnati
Posted on: September 17, 2020

Job Description:

Administrative ยท Cincinnati, Ohio. This position could also be in Dayton. Remote position possible.
General Job Summary: The Quality Specialist at PATH Integrated Healthcare will ensure our quality standards are being met across the company. The Quality Specialist will work directly for the Director of Reimbursement and Contracting, keeping PATH employees in compliance with training, making sure licenses are up to date and active, providing quality assurance, acting as an educational liaison, and helping with billing duties.
Essential Functions:


  • Provide quality assurance to ensure proper documentation of services provided and client progress by providers, in accordance with Path standards and appropriate coding guidelines.
  • Keeping PATH in compliance and licenses up to date with Medicaid, OMHAS and CARF standards.
  • Educational liaison, maintaining yearly training requirements for employees
  • Provide quality assurance to ensure providers documented services per the policies of Path Integrated Healthcare, their professional licensing body and state and payer documentation and coding guidelines. You are expected to remain in constant compliance with company, federal and state confidentiality and HIPAA requirements, and company policies and processes.
  • General billing duties
  • Maintain compliance with chart and documentation audit criteria, billing reviews and Phase System of Care requirements
  • Must be committed and respectful of cultural diversity, religious and personal values and traditions of clients and their families in alignment with company mission.
  • Provide coverage for office coordinators as needed.
  • Additional duties as assigned by the Director of Reimbursement and Contracting
  • Skills/Qualifications:
  • Ability to provide concise, articulate and well written coaching comments to address behaviors that impact the client interaction and job performance
  • Proficient with Windows and Microsoft Office applications.
  • Dedication to excellence with a strong client centered focus by maintaining quality standards, valuing our clients, and possessing good time management skills.
  • Strong verbal and written communication, excellent interpersonal skills, professional demeanor plus a strong orientation to collaboration and teamwork.
  • Comprehensive knowledge of patient insurance process for obtaining authorizations and benefits verification required
  • Knowledge of Health Insurance requirements required
  • EHR experience required
  • Experience with annual surveys, CARF, Medicaid, and billing preferred.

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Keywords: Path Integrated Healthcare, Cincinnati , Quality Specialist, Other , Cincinnati, Ohio

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