Quality Specialist

• Conduct quality assurance reviews of designated draft Proof of Claim (POC), Motion for Relief (MFR), and Response to Notice of Final Cure (RNOFC) items routed through established workflow controls prior to finalization, focusing on accuracy, completeness, formatting, redaction, naming conventions, exhibit or attachment labeling, client-specific requirements, and overall quality.
• Complete quality control reviews of internal audits, including post-filing audits, for POC, MFR, Payment Change Notice (PCN), Post-Petition Fee Notice (PPFN), Agreed Order (AO), and other assigned document or process types.
• Review system completions and updates for accuracy, consistency, required documentation, and adherence to approved procedures and workflow expectations.
• Review client alert items as needed against applicable standards, workflow requirements, and documented instructions.
• Document review results, exceptions, and supporting details clearly in designated trackers, audit templates, systems, and/or workflow tools.
• Communicate identified issues to Quality Management leadership and appropriate operational contacts in a timely, professional manner; request clarification as needed to complete assigned reviews accurately.
• Follow approved QA/QC job aids, audit templates, sampling instructions, client requirements, policies, procedures, and escalation protocols.
• Assist with updates to review notes, job aids, audit templates, and process feedback as directed by Quality Management leadership.
• Protect and maintain the confidentiality of client, borrower, and firm information by complying with firm policies, data security protocols, privacy requirements, and all applicable laws and regulations.
• Exercise sound judgment when handling sensitive financial information and safeguard data against unauthorized access, disclosure, or misuse.

Quality Specialist ensuring compliance with legal procedures in a remote law firm.

Quality Management Specialist

Quality Specialist supporting assurance reviews and compliance checks for legal documents at Padgett Law Group, a creditors' rights firm. Conducting detailed audits and maintaining quality control standards.

• Perform clinical validation to ensure measure accuracy and compliance with CMS requirements
• Conduct medical record abstraction for assigned measures
• Identify and resolve data and logic discrepancies in collaboration with internal teams and external vendors
• Support timely and accurate regulatory submissions
• Ideally, team members will be assigned to either Validation or Abstraction
• Cross-training will be provided to support workload balancing and team flexibility.

RN Quality Measure Specialist focused on clinical quality measures at Banner Health

RN Quality Measure Specialist

RN Quality Measure Specialist at Banner Health validating and abstracting clinical quality measures. Collaborating with teams to support regulatory and quality reporting initiatives in a remote work setting.

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Quality Management Specialist

RN Quality Measure Specialist