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Job Field: Accounting / Finance Jobs
Location: Lancaster, CA
Salary: $Not stated

JOB SUMMARY:

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<tr><td valign="top" width="450"><b>Title: Data Quality Manager - Antelope ValleyLocation: Lancaster, CAThe Data Quality Manager (DQM) is responsible for the management of teams supporting local and region-wide initiatives. The manager serves as the key compliance advisor to the medical center staff, ensuring optimal documentation and supporting national and regional compliance plans to ensure federal, state and other regulatory standards, clinical strategic goals, and HEDIS goals are met. This position is expected to be the primary coding and documentation consultant and an ongoing resource to the Area Medical Director, Medical Group Administrator, Associate Medical Group Administrator, Assistant Medical Group Administrator, physicians, non-physician providers, Kaiser Permanente HealthConnect (KPHC) support staff, compliance auditors, and other staff. The DQM will function as a mediator on complex coding issues and will work with regional and medical center representatives to find issue resolution. The DQM is responsible for overseeing the synthesis of local and regional audit findings to provide actionable feedback on areas for improvement.Essential Functions:- Supervise and develop staff within the assigned functional area.- Coach and develop employees according to their strengths and create a team environment and delegate tasks appropriately.- Lead strategic planning and manage projects to meet organizational initiatives.- Oversee daily operations including developing, training, and monitoring the productivity and performance of auditing and other assigned staff.- Manages and resolves human resource, labor relations, employee and department safety, and risk management issues.- Oversee and manages budgets and resource allocations.- Provide on-boarding and orientation for new employees.- Manages and ensures continuous improvement of services and operations by designing and implementing systems, processes and methods to evaluate and improve effectiveness. - Develop and maintain collaborative relationships and communications with administrative and clinical staff to share pertinent information on documentation, data collection and AUDIT operation systems.- Prepare auditing analysis to identify trends, patterns, and/or system issues that may contribute to coding and documentation deficiencies and risk areas.- Make recommendations to leadership regarding steps to alleviate deficiencies (such as training needs, monitoring processes, and formalized procedures).- Oversee communication of quality assurance results to providers, the appeal process if appropriate, and required corrective actions.- Communicate lack of corrective action to medical center leadership as needed.- Assist medical center and regional leadership in the development and implementation of policies and procedures for operational processes and encounter charge/data capture.- Coordinate the development, implementation, completion, follow-up and evaluation of effectiveness of corrective action plans as required.- Identify new methods of increasing efficiency and improving processes.- Work with leadership to implement approved departmental changes.- Participate in DQM, Chief and/or Regional Committees, MD Liaison, and Charge Capture meetings, initiatives and tasks as requested.- Collaborate with National Compliance Office, Kaiser Permanente Health Connect(KPHC), long term support, and physician champion workgroups to resolve local coding and compliance issues.- Organize, develop, facilitate and implement actions of the medical center AUDIT Oversight Committee (committee members include: MD Liaisons, Champions, Medical Directors, and AMGAs).- Demonstrate flexibility and willingness to adjust to changing work environments.- Exhibit strong work ethic by consistently producing high quality, accurate and thorough work products.- Maintain audit records, work papers, and tools including audit plans, reports of completed audits, and completed corrective action plans in compliance with federal, state, and organi

KEY REQUIREMENTS:

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Not stated