manager, Quality analysisMed-Metrix

Position Summary:The HIM and Patient Access QA Manager is responsible for leading quality assurance initiatives within Health Information Management and Patient Access departments. This role ensures compliance with regulatory standards, drives process improvements, and oversees the accuracy and integrity of patient information and access workflows. The manager collaborates with cross-functional teams to enhance operational efficiency, patient satisfaction, and revenue cycle performance.Key Responsibilities:Quality Assurance Leadership
Develop, implement, and maintain comprehensive QA programs for HIM and Patient Access operations.
Conduct regular audits of documentation, coding, registration, and patient access processes to ensure compliance with HIPAA, CMS, and accreditation standards.
Analyze audit results and lead root cause investigations to recommend and implement corrective actions.
Monitor key performance indicators (KPIs) and prepare quality reports for leadership.
Compliance and Risk Management
Ensure all HIM and Patient Access activities adhere to federal, state, and organizational policies and regulations.
Maintain documentation and reporting to support compliance efforts.
Communication and Collaboration
Serve as a liaison between HIM, Patient Access, clinical departments, and external partners to promote quality initiatives.
Communicate QA findings and improvement plans effectively to stakeholders at all levels.
Qualifications
Bachelor's degree in health information management, Healthcare Administration, or related field
Registered Health Information Administrator (RHIA) or Registered Health Information Technician (RHIT) certification preferred.
Minimum 5 years of experience in HIM and/or Patient Access with at least 2 years in a quality assurance and supervisory/managerial role.
Strong knowledge of healthcare regulations, coding standards, and revenue cycle processes.
Experience with electronic health record (EHR) systems and QA tools.
Excellent leadership, analytical, and communication skills.
Core Competencies
Quality assurance and compliance expertise
Leadership and team management
Roll out a continuous quality improvement plan framework
Regulatory knowledge and risk management
Effective communication and collaboration
Med-Metrix

Philippines
Permanent
Full-time