Regional Director of Quality Assurance and Monitoring

Regional Director of Quality Assurance and Monitoring

The Regional Director of Quality Assurance and Monitoring supports regional operations by serving on the Regional Ops team, consults with and supports facility Medical Records Directors to achieve operational excellence in records keeping and quality assurance. The RDQAM reports to Regional Vice President of Operations. The RDQAM is to guide, mentor, and develop high-performing medical records professionals and regional support staff. The RDQAM possesses a detailed understanding of medical records keeping best practices.

Essential Duties

• The RDQAM works to educate facilities and regional support staff to implement operational Policies & Procedures and best practices that have been developed by the Clinical Strategy and Governance Team.
• The RDQAM has a dotted-line relationship to mentor, educate, and support facility medical records directors and other IDT members as may be requested and helpful.
• Provides consulting oversight, and tracks facility Medical Records Directors, assisting with orientation of new Medical Records Director hires, and assists with coordinating facility leadership.
• Completes on-site facility visits for education and monitoring of trends in documentation to support facility operations.
• Conducts regular monitoring of medical records across multiple facilities to ensure regulatory compliance and documentation accuracy.
• Participates in regular team meetings with SDQAM and other DQAM to address challenges and set goals.
• The RDQAM reports trends to RVP and Regional Operations Teams and communicates as needed with the SDQAM and PACS Clinical Strategy and Governance Team as needed.
• Coordinates Regional Ops trainings for Medical Records Directors on Medical Records best practices
• Ensures Medical Records monitoring tools established within the region or by the Clinical Strategy and Governance Team are utilized to the highest level of compliance standards for the region facilities.
• Educates and enforces PACS Medical Records Policy and Procedures.
• Develops and distributes Regional medical records reports for quality improvement
• Assists Regional Support teams and / or company defense attorneys as needed with any lawsuits, depositions, reports and document production for facilities.
• Assists with record requests to ensure complete documents for release. Communicates with RVP, Regional Ops Team, and Clinical Strategy and Governance Team, and PACS Legal team about adverse events or liability concerns.
• Provides Additional Documentation Request (ADR) support and training to Facility Medical Records Directors.
• Provides Triple Check training for Medical Records Directors for the facilities assigned.
• Supports facilities assigned in preparing for annual surveys and unannounced inspections by ensuring documentation meets state and federal standards.
• Serves as a subject matter expert on HIPAA compliance, privacy regulations, and medical records retention policies.
• Develops and maintains good working rapport with RVP, Regional Ops team, and the PACS Clinical Strategy and Governance Team subject matter experts.
• Is proficient with all PACS electronic records systems and resources (Examples such as PCC, Nethealth, PointRight, PACS Dashboards, etc.)
• Fulfill other assignments as directed by the RVP, including supporting mock survey, and annual surveys at facilities as requested.
• Reports to Chief Compliance Officer any concerns of compliance, including policies around fraud, waste, and abuse or violations of the PACS Code of Conduct.
• The RDAM has dotted-line accountability to the Senior Director of Quality Assurance and Monitoring, and must make herself / himself available for training from the SDAM and the Clinical Strategy and Governance Team when requested.

Supervisory Requirements

Dotted-line support for facility Medical Records Directors.

Qualification

Education and / or Experience

Bachelor's degree or higher preferred. Proficient in Microsoft Office tools. Ability to type 45+ words per minute. Possesses a strong working knowledge of medical terminology, anatomy and physiology, legal aspect of health information, coding, indexing, etc. ICD-10 certified preferred.

Language Skills

Must be able to read, write, speak, and understand the English language. Ability to read medical anatomy and technical procedures.

Mathematical Skills

Ability to apply concepts such as fractions, percentages, ratios and proportions to practical situation.

Reasoning Ability

Must possess the ability to make independent decisions when circumstances warrant and solve practical challenges. Must be able to interpret instructions in writing, orally, and by diagram.

Certificates, Licenses, Registrations

Must be ICD-10 certified within 6 months of hire.

Physical Demands

Must be able to move intermittently throughout the workday. Must be able to cope with the mental and emotional stress of the position. Must possess sight / hearing senses or use prosthetics that will enable these senses to function adequately so that the requirements of this position can be fully met. Must be able to push, pull, move, and / or lift a minimum of 25 pounds and be able to push, pull, move, and / or carry such weight a minimum distance of 50 feet.

Work Environment

The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Work remotely or in a PACS services office or facility. Move intermittently throughout the day. The position is subject to frequent interruptions and occasionally requires work beyond normal hours such as weekends, holidays, as necessary.

Is subject to exposure to infectious waste, diseases, conditions, etc., including TB and the AIDS and Hepatitis B viruses.

Additional Information

Note : Nothing in this job specification restricts management's right to assign or reassign duties and responsibilities to this job at any time. Critical features of this job are described under various headings above. They may be subject to change at any time due to reasonable accommodation or other reasons. The above statements are strictly intended to describe the general nature and level of the work being performed. They are not intended to be construed as a complete list of all responsibilities, duties, and skills required of employees in this position.

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