Peraton is looking to add a Document Control Specialist to their SafeGuard Services (SGS) team to perform quality assurance checks on Medicare and Medicaid investigation and audit file documentation to ensure adequacy and quality, and to detect, prevent, deter, reduce, and recover fraud, waste, and abuse.
Requirements
- Proficient in editing and review skills.
- Knowledge of applicable regulatory and industry standards, including HIPAA and content review
- Proficient with reviews requiring extremely detail-oriented focus
- Proficient in Microsoft Word, Excel, PowerPoint, Access.
- Ability to confirm accuracy of data submitted via documentation.
- Ability to review and verify document creation and revisions, to ensure documentation complies with internal quality control practices, and that all staff are using the correct version before distribution and implementation.
- Ability to document review results by completing reports and logs.
Responsibilities
- Performs quality assurance checks on Medicare and Medicaid investigation and audit file documentation for the purpose of ensuring the adequacy of the information within the document and to ensure the quality of the product meet/exceed the client's expectations.
- Quality control reviews will ensure that documents comply with federal regulations as well as internal quality control practices.
- Verifies Protective Health Information (PHI) and Personally Identifiable Information (PII) and reviews content of all documents within the request.
- Communicates with requestor and follows up with any questions or re-works noted during the review of the documents.
- Adapts to handling priority requests at any time to ensure timeliness is met per CMS guidelines/metrics.
- Works with health privacy information, maintaining confidentiality and demonstrates a clear understanding of the laws, rules and regulations concerning health privacy.
- Ability to conduct self-directed reviews to identify case documentation issues, assure clarity of language and adherence to investigative principles, as defined by CMS and Management.
Other
- Works independently with minimal supervision and direction and as a team to complete requests timely and efficiently.
- Handles a multitude of document types/requests daily and determines appropriate prioritization to complete the workload.
- Strong communication, written and oral skills
- Strong organization skills and ability to prioritize workload appropriately
- US Citizenship Required
