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US Acute Care Solutions · 21 hours ago

Quality Analyst, Contract Reimbursement Analysis

Virtual USA

Full-time

Onsite

Entry Level

$21.59/hr - $39.94/hr

1+ years exp

US Acute Care Solutions is a healthcare organization that values the connection between clinicians and non-clinical professionals. They are seeking a Quality Analyst to perform quality and training audits, support continuous education initiatives, and collaborate with team members to implement best practices.

Health CareHospitalMedical

Responsibilities

Performs quality audits for the CRA state and federal arbitration process, both for department staff and offshore vendors, to ensure completed tasks are meeting IDR policies, following known strategies and best practices, while using applicable resources appropriately

Recognizes coaching opportunities and works with department staff and offshore team members to develop necessary skills

Creates, updates, and maintains spreadsheets to track monthly audit information and report on quality results

Assists with developing and performing on-going training/support programs customized for new hire training as well as continuing education training for existing department staff and offshore team

Assists with managing updates to existing training materials and developing new resources by evaluating department needs

Researches payer and Independent Dispute Resolution Entity (“IDRE”) trends, making recommendations to improve IDR success rate and monitor success of strategy changes

Assists department director and manager with additional CRA team audits as needed

Performs and assists with other department duties as needed