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SalaryAledade, a public benefit corporation, exists to empower the most transformational part of our health care landscape - independent primary care. We were founded in 2014, and since then, we've become the largest network of independent primary care in the country - helping practices, health centers and clinics deliver better care to their patients and thrive in value-based care.
Reporting to the Director of Risk Stratification Operations, the Quality Assurance Documentation Specialist is responsible for developing and maintaining all policy, procedure, and work instruction documents to reflect Risk Stratification operating policies and procedures and Coding and Billing references guides to enable consistent performance and outcomes. This role works to revise, refine, and/or create the required documentation that is made available within the department as reference publications, and communicate any changes to stakeholders.
Primary Duties:
- Develop documents to help maintain an effective set of policies, procedures, and work instructions (consistent with CMS guidelines).
- Support Creation and Maintain Risk adjustment / Clinical Documentation Curriculum ( consistent with CMS guidelines).
- Support the introduction of department policies to impacted departments
- Interface with management and stakeholders to determine appropriate documentation required for operations and risk.
- Perform research and review documents to identify gaps in documentation and Lead development of documentation requirements for new and/or changing business processes.
- Analyze the effectiveness of documentation and recommend improvement opportunities to management.
- Remain current on CMS guidance, update documents to reflect CMS changes in a timely manner and apply CMS references to documents where applicable.
- Prepare for distribution a policy update, brief, or manual, as well as the procedures by which to introduce such changes.
- Create and Maintain a Documentation Library for Risk Stratification Operations and Education / Clinical.
Minimum Qualifications:
- University or college degree or equivalent work experience.
- 3+ years of creating and managing SOP, Enterprise education and Reference documents while having to align with compliance guidelines.
- Experience with business writing including publishing, and expertise in documenting business policies and processes.
- Experience with Risk adjustment and CMS regulation related to Coding and Documentation accuracy guidelines.
- Experience with technical writing.
- Experience with Google Suite
- Experience communicating effectively, verbally, and in writing, with employees at all levels of an organization.
- Experience in working directly or indirectly with operations/customer service teams.
- Project management experience is an asset.
Preferred Key Skills and Abilities:
- Knowledge of how to source and research CMS regulatory requirements
- Ability to take complex or multi-stepped procedures and prepare in a simple, clear, and easily digested format.
- Ability to anticipate potential situations or questions at every level of the company in response to a new policy or procedure.
- Ability to manage updates/revisions to ensure accuracy and relevance.
- Excellent organizational, written, and verbal communication skills.
- Time management/ability to perform comfortably in a fast-paced, deadline-oriented work environment.
- Able to work as a team member, as well as independently.
- Able to handle highly confidential/sensitive information.
Physical Requirements:
- Ability to travel up to 10 - 25% of the time
- Sitting for prolonged periods of time. Extensive use of computers and keyboard.
Who We Are:
Aledade, a public benefit corporation, exists to empower the most transformational part of our health care landscape - independent primary care. We were founded in 2014, and since then, we've become the largest network of independent primary care in the country - helping practices, health centers and clinics deliver better care to their patients and thrive in value-based care. Additionally, by creating value-based contracts across a wide variety of payers, we aim to flip the script on the traditional fee-for-service model. Our work strengthens continuity of care, aligns incentives, and ensures primary care physicians are paid for what they do best - keeping patients healthy. If you want to help create a health care system that is good for patients, good for practices and good for society - and if you're eager to join a collaborative, inclusive and remote-first culture - you've come to the right place.
What Does This Mean for You?
At Aledade, you will be part of a creative culture that is driven by a passion for tackling complex issues with respect, open-mindedness and a desire to learn. You will collaborate with team members who bring a wide range of experiences, interests, backgrounds, beliefs and achievements to their work - and who are all united by a shared passion for public health and a commitment to the Aledade mission.
In addition to time off to support work-life balance and enjoyment, we offer the following comprehensive benefits package designed for the overall well-being of our team members:
Flexible work schedules and the ability to work remotely are available for many roles
Health, dental and vision insurance paid up to 80% for employees, dependents, and domestic partners Robust time off plan 21 days of PTO in your first year 2 Paid Volunteer Days & 11 paid holidays
12 weeks paid Parental Leave for all new parents
6 weeks paid sabbatical after 6 years of service
Educational Assistant Program & Clinical Employee Reimbursement Program
401(K) with up to 4% match
Stock options
And much more!
At Aledade, we don’t just accept differences, we celebrate them! We strive to attract, develop, and retain highly qualified individuals representing the diverse communities where we live and work. Aledade is committed to creating a diverse environment and is proud to be an equal opportunity employer. Employment policies and decisions at Aledade are based on merit, qualifications, performance, and business needs. All qualified candidates will receive consideration for employment without regard to age, race, color, national origin, gender (including pregnancy, childbirth or medical conditions related to pregnancy or childbirth), gender identity or expression, religion, physical or mental disability, medical condition, legally protected genetic information, marital status, veteran status, or sexual orientation.
Privacy Policy: By applying for this job, you agree to Aledade's Applicant Privacy Policy available at https://www.aledade.com/privacy-policy-applicants
