Home Health Medical Quality Assurance (QA) Lead / Biller

Is Tender for you

Are you looking for a remote medical position that provides you with the opportunity to lead a team

If you are interested in a competitive salary, medical benefits, bonuses and career growth, apply now. Tender Home Health is a young, energetic company that values the growth of each of our team members. The Quality Assurance (QA) Lead will supervise a motivated team to review medical documentation to ensure correctness. The QA lead will also be executing billing for medicare claims. Apply to Tender today!

Our Dynamic Culture

We know that our staff is the life blood of our agency. We are dedicated to ensuring that our staff has the opportunities for the career path they desire. This is evident in our many rewards and recognition practices.

Here are some examples of methods we developed to keep culture:

●      Career Growth – We invest in all our employees with defined goals and upward mobility. There is no set time for promotion, each team member can get promoted once they achieve goals.

●      Bonuses – Monthly individual and team-oriented bonuses.

●      Benefits – Paid Time Off, Medical Benefits and Holidays.

We also do not shy away from hard work and grit. We are very upfront with critical feedback, as we want all of our team members to grow in their careers. We constantly mentor our staff to develop key skills that can be utilized beyond our company. Whether it be for 1 year or 20 years, during your stay at Tender, we will ensure you learn behaviors that you will utilize in any other endeavors.

Life is short, strive for excellence.

Qualifications

Required:

•       Current License Vocational Nurse, Registered Nurse or Physical Therapy license

•       Supervisory experience – management, training, developing people and recruiting

•       Superior research skills - particularly for Medicare rejections, ICD10 and reimbursement. Must be comfortable with calling Medicare and understanding errors.

•       Expert in ICD10 and clinical coding

•       Tech Savvy – ability to learn new systems including Electronic Medical Systems

•       Deep experience with Microsoft Office, specifically Microsoft Excel

•       Experience in Home Healthcare – patient management, medical documentation and clinician support

Desired:

•       College degree

Behaviors:

•       Excellent communication - presentation and interpersonal skills

•       Detailed oriented

•       Ability to work with an offshore team

•       Display tenacity and initiative with a goal-oriented attitude

•       Demonstrates a growth mindset, with a proactive attitude towards learning and improving skills, coupled with a strong sense of personal responsibility and initiative in achieving goals.

Your Day to Day Activities

The QA lead will primarily manage the existing QA team. The lead will set goals, research errors and ensure the QA team has everything they need to QA and bill. This includes training, auditing and providing constant feedback to the team.

QA lead will also review medical records to ensure they are complete and accurate. To achieve this, QA must be detailed oriented and work closely with the clinical staff.

Specific activities include:

•       Manage QA team to achieve targets

•       Prepare daily reports to assign work, analyze rejections and unblock issues for staff to achieve goals

•       Drive operations and clinical department to achieve all items required to complete QA

•       Review Home Health charts to ensure documentation is complete and accurate

•       Utilize ICD-10 Coding for medical diagnosis required for billing

•       Work with clinical staff to correct issues

•       Document common issues to prevent future clinical errors

•       Perform chart audits on an ongoing basis to verify correctness, completeness, and conformance to standards

•       Create reports to document team progress

•       Analyze charts to maximize reimbursement

•       Achieve 5-star rating through chart review and training

•       Appeal low reimbursements and outlier payments

•       Bill medicare and analyze and prevent billing errors