• Lead Quality Assurance Technician Lead

    Job ID 2018-3097
    Job Locations
    US-VA-Henrico
    Category
    Administration / Clerical
    Type
    Regular Full-Time
  • Overview

    NCI is a leading provider of enterprise solutions and services to U.S. defense, intelligence, health and civilian government agencies. Coupled with a refined focus on strategic partnerships, we are successfully bridging the gap between commercial best practices and mission-critical government processes. Core competencies include:

    • Artificial intelligence
    • Agile digital transformation
    • Advanced analytics
    • Hyperconverged infrastructure solutions
    • Cyber security and information assurance
    • Fraud, waste and abuse
    • Error rate measurement
    • Engineering and logistics

    MF18

    NCI has been designated a 2018 Military Friendly Employer by MilitaryFriendly.com 

     

    Headquartered in Reston, Virginia, NCI has approximately 2,000 employees operating at more than 100 locations worldwide.

     

    Responsibilities

    NCI: As the Lead Quality Assurance Technician (Quality Assurance Technician III), you will be responsible for receiving, identifying, and quality-checking all records received from the providers, including all initial, and subsequent ADR documentation. The Lead Quality Assurance Technician ensures the validity of the documentation by performing a thorough quality check on each claim including that all pages are for the correct beneficiary and that pages are legible and complete. In assuming this position, you will be a critical contributor to meeting NCI's mission: To deliver innovative, cost-effective solutions and services that enable our customers to rapidly adapt to dynamic environments.

     

     

    Highlights of Responsibilities:

     

    • Receives, processes, quality checks medical records received from the providers
    • Transfers all valid documentation to the First Touch Team department and MRS Team
    • Notifies Customer Service Representatives of all invalid documentation and collaborates with them on the resubmission of illegible records
    • Notifies the Scanning department of all invalid documentation that were manually scanned and collaborates with them on the rescanning of those records if needed.
    • Inputs data into various processing computer systems
    • Provides oversight of the QC process, ensuring that claims go through QC in a timely manner
    • Resolves any QC related issues and coordinates with other departments when necessary to resolve any issues at hand
    • Manages team’s schedule to ensure deadlines are met
    • Approves and keep tracks of team’s attendance, PTO requests and timesheets
    • Serves as team member’s backup when needed
    • Attends bi-weekly meeting and communicates any relevant issues or concerns to Applications department
    • Maintains a neat, organized work area
    • Attends required education and training programs
    • Complies with departmental policies and procedures
    • Performs other duties as assigned by Medical Records Manager

    Qualifications

    Requirements: 

     

    • Associate’s Degree with at least four (4) years of medical records experience, or equivalent related experience admissible in lieu of degree

      

    Preferred Education and Experience:

     

    • Registered Health Information Technician (RHIT) or Registered Health Information Administrator (RHIA) certification
    • Medicaid/CHIP experience preferred
    • Bilingual (Spanish) - Fluency in speaking, reading and understanding the Spanish language. 

     

     Physical Requirements:

     

    This position requires the ability to perform the below essential functions:

    • Sitting for long periods
    • Standing for long periods
    • Ambulate throughout an office
    • Ambulate between several buildings
    • Stoop, kneel, crouch, or crawl as required
    • Repeatedly lift and carry weight up to 30 pounds

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