Regional Director of Quality Assurance and Monitoring

Essential Duties

Every effort has been made to identify the essential functions of this position. However, it in no way states or implies that these are the only duties you will be required to perform. The omission of specific statements of duties does not exclude them from the position if the work is similar, related, or is an essential function of the position.

• 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 SQAM and other DQAM to address challenges and set goals.
• The RDOAM reports trends to KVP 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 RDQAM has dotted-line accountability to the Senior Director of Quality Assurance and Monitoring, and must make herself/himself available for training from the SDQAM 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 situations.

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.

PACS is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, protected veteran status, or any other legally protected status.

• Health Coverage: Enjoy medical, dental, and vision plans to keep you and your family healthy. 
• PTO and Vacation: Benefit from generous paid time off and holidays to relax and recharge. 
• Financial Wellness: Take advantage of Health Savings Accounts (HSA) and Flexible Spending Accounts (FSA) to manage your healthcare expenses effectively. 
• Retirement Planning: Secure your future with our 401(k) plan, complete with company contributions to help you build your retirement savings. 
• Support When You Need It: Our Employee Assistance Plan (EAP) provides confidential support for personal and professional challenges.