Quality Operations Coordinator (Assignment: Audits)

Socket.dev; California (MO); On-site; USD 55,931 - 73,840; Full time

Job summary

WelbeHealth is seeking a Quality Operations Coordinator to support PACE market operations by reviewing participant medical records and auditing EHRs with quality improvement tools. The role involves data collection, documentation, and ensuring regulatory compliance.

The position requires an Associate’s degree (or equivalent), healthcare experience, and readiness for flexible hours and travel to onsite locations. Excellent MS Office skills and attention to detail are essential.

Qualifications

• Associate’s degree preferred; three years of experience may be substituted in lieu of education.
• Minimum of two years of work experience in a healthcare setting or related area; PACE experience preferred.
• Must be comfortable with working a varied schedule, which may require nights and weekends, and must be comfortable travelling onsite for business needs.
• Ability to interpret and apply policies and Health Information Management expertise.
• Extensive MS Office suite experience, strong data gathering skills, and technical skills with computer navigation required.

Responsibilities

• Support assigned audits by maintaining audit trackers, document inventories, evidence logs, audit schedules, and submission records.
• Assist with audit meeting coordination, readiness activities, interviews, and other audit-related activities through scheduling assistance, note-taking, action item tracking, and logistical coordination.
• Coordinate audit deliverable collection activities and follow up with departments regarding outstanding requests, escalating concerns to the assigned Audit Specialist as appropriate.
• Organize, validate, and prepare audit files according to audit team standards and regulatory requirements.
• Perform document quality reviews to ensure required documents are present, properly named, organized, and version controlled.
• Support audit readiness activities, mock audits, training sessions, and departmental outreach efforts.

Skills

MS Office

Data gathering

Healthcare experience

Policy interpretation

Education

Associate’s degree

Tools

EHR systems

Job description

WelbeHealth is a value-based healthcare organization that’s transforming the future of senior care by providing an all-inclusive care option to our most vulnerable senior population.

Under the supervision of the Quality Operations Director (QOD), the Quality Operations Coordinator is accountable for delivering excellent support and service to our PACE market operations through a process of record review, ensuring a complete and accurate participant medical record. Duties will include collecting data, auditing participant electronic health records (EHRs) by utilizing tools specific to the area of quality improvement, complete reporting, and confirming all regulatory required elements.

Essential Job Duties:

• Support assigned audits by maintaining audit trackers, document inventories, evidence logs, audit schedules, and submission records.
• Assist with audit meeting coordination, readiness activities, interviews, and other audit-related activities through scheduling assistance, note-taking, action item tracking, and logistical coordination.
• Coordinate audit deliverable collection activities and follow up with departments regarding outstanding requests, escalating concerns to the assigned Audit Specialist as appropriate.
• Organize, validate, and prepare audit files according to audit team standards and regulatory requirements.
• Perform document quality reviews to ensure required documents are present, properly named, organized, and version controlled.
• Support audit readiness activities, mock audits, training sessions, and departmental outreach efforts.

Job Requirements:

• Associate’s degree preferred; three years of experience may be substituted in lieu of education
• Minimum of two years of work experience in a healthcare setting or related area; PACE experience preferred
• Must be comfortable with working a varied schedule, which may require nights and weekends, and must be comfortable travelling onsite for business needs
• Ability to interpret and apply policies and Health Information Management expertise
• Extensive MS office suite experience, strong data gathering skills, and technical skills with computer navigation required

Benefits of Working at WelbeHealth: Apply your expertise in new ways as we rapidly expand. You will have the opportunity to design the way we work in the context of an encouraging and loving environment where every person feels uniquely cared for.

• BENEFITS: Health Coverage on Day 1, Paid Parental Leave, 401K Match
• PERKS: 17 days of paid time off in year one, 12 company holidays, and 6 sick days
• GROWTH: Career path advancement and leadership opportunities

Compensation consists of base salary plus bonus. WelbeHealth offers a competitive total rewards package that includes a 401(k) match, comprehensive healthcare coverage, and a broad range of additional benefits. Actual compensation will be determined based on experience and relevant qualifications.

Compensation Offering

$26.89—$35.50 USD

COVID-19 Vaccination Policy

At WelbeHealth, our mission is to unlock the full potential of our vulnerable seniors. In this spirit, please note that we have a vaccination policy for all our employees and proof of vaccination, or a vaccine declination form will be required prior to employment. WelbeHealth maintains required infection control and PPE standards and has requirements relevant to all team members regarding vaccinations.

Our Commitment to Diversity, Equity and Inclusion

At WelbeHealth, we embrace and cherish the diversity of our team members, and we're committed to building a culture of inclusion and belonging. We're proud to be an equal opportunity employer. People seeking employment at WelbeHealth are considered without regard to race, color, religion, sex, gender, gender identity, gender expression, sexual orientation, marital or veteran status, age, national origin, ancestry, citizenship, physical or mental disability, medical condition, genetic information or characteristics (or those of a family member), pregnancy or other status protected by applicable law.

Beware of Scams

Please ensure your application is being submitted through a WelbeHealth sponsored site only. Our emails will come from @welbehealth.com email addresses. You will never be asked to purchase your own employment equipment. You can report suspected scam activity to [e-mail]