Quality Control Specialist - Remote

Sharecare; Oregon; Hybrid; USD 40,000 - 65,000; Full time

Job summary

Sharecare is seeking a Quality Control Specialist to review electronic medical records for HIPAA compliance, ensuring legal ROI standards are met. This role emphasizes meticulous data handling, regulatory adherence, and collaboration with the ROI team to maintain data integrity.

Responsibilities include mentoring new staff, escalating issues to the Lead/Supervisor, and upholding state and federal release of information rules while supporting enterprise information governance and privacy programs.

Qualifications

• Minimum 6 months experience in a medical records setting.
• Must pass an industry-related course and exam within six months of hire.

Responsibilities

• Review electronic records for HIPAA compliance and ROI eligibility.
• Determine if we have the legal right to release records under HIPAA.
• Mentor new employees and communicate questions to the Lead/Supervisor.
• Adhere to applicable federal and state information release laws.

Skills

Attention to detail

Time management

Team collaboration

Reliability

MS Outlook

Communication skills

Tools

MS Outlook

Job description

Job Description: Sharecare is a digital healthcare company that delivers software and tech-enabled services to stakeholders across the healthcare ecosystem to help improve care quality, drive better outcomes, and lower costs. Through its data-driven AI insights, evidence-based resources, and comprehensive platform - including benefits navigation, care management, home care resources, health information management, and more - Sharecare helps people easily and efficiently manage their healthcare and improve their well-being. Across its three business channels, Sharecare enables health plan sponsors, health systems and physician practices, and leading pharmaceutical brands to drive personalized and value-based care at scale. To learn more, visit

Job Summary

The Quality Control Specialist is responsible for reviewing electronic medical records and conducting quality control on each record to ensure we are within HIPAA (Heath Insurance Portability and Accountability) guidelines. This position requires a high attention to detail, while producing quality work at all times.

Essential Job Functions

• Ability to check electronic records for HIPAA compliance, compliance with request and authorization limits
• Ability to review a document and determine if we have the legal right to release medical records based on HIPAA rules and regulations
• Communicate questions/issues to Lead/Supervisor
• Work as a mentor to new employees
• Adhere to state and Federal Laws for Release of Information (ROI)

Specific Skills/ Attributes

• High attention to detail
• Strong time management skills
• Ability to work in a fast-paced, production-oriented environment
• Ability to work well with others within a team environment
• High level of reliability and productivity
• Must be computer literate; able to use MS Outlook and other Windows-based programs
• Excellent communication skills

Qualifications

• Minimum of 6 months previous experience in a medical record setting
• Required to pass an industry related course and exam within six months of hire

HIPAA/Compliance

• Maintain privacy of all patient, employee, and volunteer information and access such information only on a need to know basis for business purposes.
• Comply with all regulations regarding corporate integrity and security obligations
• Report unethical, fraudulent, or unlawful behavior or activity
• Maintain current and yearly HIPAA certification.

Information Governance Accountabilities :

• A high-level understanding of the organization's information governance program and role-specific accountabilities
• A thorough understanding of role requirements, including policies, procedures and processes, to include how individual work impacts the organization and its strategic and financial goals; and how tasks and projects affect the integrity of the organization's data and information
• Commitment to discuss questions and recommendations about processes and any observed variations in performing tasks in order to ensure a standardized approach to work and services provided
• Participation in education as required for corporate compliance and role-specific functions and tasks

Physical Requirements

• Ability to sit or stand for long periods of time
• Physical ability to lift and carry 25 lbs. of materials
• Manual dexterity and strength sufficient enough to enter information via computer keyboard for long periods of time, to write notes and information needed, and to pick up and hold paperwork, supplies and other items.
• Eyesight sufficient to effectively read documents and to accurately view information on a computer monitor
• Speaking and hearing ability sufficient to effectively communicate.
• Eye/hand coordination, hearing and visual acuity necessary for day-to-day tasks

Sharecare and its subsidiaries are Equal Opportunity Employers and E-Verify users. Qualified applicants will receive consideration for employment without regard to race, color, sex, national origin, sexual orientation, gender identity, religion, age, equal pay, disability, genetic information, protected veteran status, or other status protected under applicable law.