Verisma · 16 hours ago
Quality Assurance Review Specialist I
Verisma is a company that focuses on ensuring compliance with privacy laws and regulations. The Quality Assurance Review Specialist I performs review functions to ensure that disclosures of PHI and PI are accurate and complete, adhering to client protocols and legal requirements.
Hospital & Health Care
Responsibilities
Reviews authorizations and requests for records to ensure that all pertinent information is contained on these forms and the dates are valid and relevant to the release process
Verifies that the attached medical records correlate to the authorization and request and documentation encompasses that patient only
Follows all Quality Assurance policies, procedures and job aids
Proactively communicates with Manager or Supervisor regarding further clarification and when additional work is needed
Actively participates with QA Team Meeting discussions
Sends notifications to requestor when applicable
Communicates with company personnel in a professional and friendly manner
Communicates with Release of Information Specialists and Client Site Managers on issues pertaining to quality review
Attends and completes on time, all required training sessions provided by Verisma
Meets accuracy standards and performance indicators established by the Company
Performs other appropriate duties as assigned to meet the needs of the department and the Company
Consistently live by and promote Verisma Core Values
Qualification
Required
Must be detail oriented
HS Diploma or equivalent
Knowledge and ability to use components of Microsoft Office Suite to complete tasks and possess the ability to learn new software applications
Must be able to communicate clearly and concisely to relay information to other departments
Must be able to work independently
Preferred
additional education in Health Information
RHIT certification
CHDA certification or the ability to take and pass the course
2 years' experience in a professional office environment or healthcare setting, preferred with medical terminology knowledge
Knowledge of HIPAA and state regulations related to the release of Protected Health Information
Company
Verisma
Verisma, trusted by 20,000+ clients across 50 states, is redefining how healthcare organizations manage and use health data – ensuring it’s trusted, secure and actionable for real-time, high-stakes decision making.