Join our team as a Quality and Risk Management Supervisor!
Albertina Kerr empowers people with intellectual and developmental disabilities, mental health challenges and other social barriers to lead self-determined lives and reach their full potential!
As the Quality and Risk Management Supervisor you will oversee Albertina Kerr's Health Information Management (HIM) operations and staff. You will provide case management of risk events by serving as a liaison between Albertina Kerr Center Program management and external parties in matters related to complaints and grievances, internal and external auditing and investigations, reporting, and other quality, compliance, and risk management areas. In this position you will support the Quality Assurance Team in areas of data collection, report development and maintenance, policy changes, rules and regulations, accreditation, compliance, and contract requirements.
ESSENTIAL DUTIES & RESPONSIBILITIES:
- Supervises activities of HIM staff, including training, evaluation, task assignment, priority establishment, etc.
- Monitors, disperses and tracks information flow of requested information related to investigation investigations and report follow-up, including documentation flow to external parties within required timelines.
- Conducts data collection, tracking, and analysis in quality and risk standards, accreditation, compliance, State/Federal regulations, and contract reporting requirements.
- Acts as the point of escalation for internal complaint and grievance process to ensure compliance with policy timelines.
- Conducts policy design and implementation of standard work processes in alignment with regulatory requirements and state and federal laws.
- Develops and maintains processes that comply with all state and federal regulations (HIPAA, etc.).
- Oversees HIM staff consultations with agency staff on HIPAA requirements, information releases, filing, and chart compliance requirements.
- Oversees correction of recordkeeping deficiencies for the clinical staff in order to meet accreditation and state standards.
- Supports the Quality Assurance (QA) Team with maintaining the performance improvement plan, accreditation standards, variance requests, licensing renewal application process, and internal/external audit support and facilitation as needed.
- Supports clinical staff in meeting payer documentation, licensing, and accreditation expectations through data tracking.
- Acts as liaison with the Revenue Cycle Department regarding client documentation to support billing.
- Acts as QA liaison in assigned meetings.
- Leads QA project management and process improvement as assigned.
- Follows all rules, policies, and procedures.
- Other duties as assigned.
