Quality Assurance (Qa) Specialist
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Overview
Remote
On-site
Compensation
$20-$24/hour
Job Description
Position Summary:
The HGB Program Quality Assurance Specialist plays a critical role in ensuring every patient encounter is documented accurately and completely prior to claim submission. This position serves as the final quality checkpoint by auditing medical documentation, validating compliance with Medicare guidelines, and ensuring operational excellence across all HGB program locations.
The ideal candidate is highly detail-oriented, experienced in clinical documentation, and understands the importance of compliance, quality, and accurate reimbursement.
Primary Responsibilities:
- Audit 100% of patient encounters for documentation accuracy and completeness.
- Review all documentation before claims are submitted to ensure billing readiness.
- Verify that required clinical documentation supports all services performed.
- Ensure compliance with Medicare regulations, documentation standards, and company protocols.
- Identify documentation deficiencies and communicate required corrections to providers and clinical staff.
- Monitor quality trends and recommend process improvements.
- Maintain detailed QA audit logs and reporting.
- Participate in ongoing quality improvement initiatives.
- Travel throughout Texas as needed to support clinic audits and training.
Qualifications:
Required:
- Minimum 2 years of experience working in a clinical setting.
- Minimum 1 year of experience working with Medicare guidelines, documentation requirements, and quality metrics.
- Strong understanding of clinical documentation standards.
- Exceptional attention to detail.
- Strong written and verbal communication skills.
- Ability to prioritize multiple tasks while meeting deadlines.
- Willingness to travel throughout Texas as needed.
Preferred:
- Experience with EMR/EHR systems.
- Medical coding or billing knowledge.
- Quality assurance or auditing experience.
Skills:
- Clinical documentation review.
- Medicare compliance.
- Critical thinking.
- Problem-solving.
- Organization.
- Time management.
- Microsoft Office proficiency.
Compensation & Benefits:
- $20.00–$24.00 per hour.
- Part-Time position with growth opportunities.
- Mileage reimbursement for approved travel.
- Professional development opportunities.
Automate your job search with Sonara.
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FAQs About Quality Assurance (Qa) Specialist Jobs at HealthGrades Analytics
What is the work location for this position at HealthGrades Analytics?
This job at HealthGrades Analytics is located in Houston, TX, according to the details provided by the employer. Some roles may also include multiple work locations depending on the requirement.
What pay range can candidates expect for this role at HealthGrades Analytics?
Candidates can expect a pay range of $20–$24 per hour for this role.
What employment applies to this position at HealthGrades Analytics?
The employer has not provided this information. This may be discussed during the hiring process.
What is the process to apply for this position at HealthGrades Analytics?
You can apply for this role at HealthGrades Analytics either through Sonara's automated application system, which helps you submit applications 10X faster with minimal effort, or by applying manually using the direct link on the job page.