Quality Analyst - Veterans Evaluation Services (VES)

Job Title

Quality Analyst

Job Code

060-243-2

Report To

Lauren Skloss

FLSA: 2

General Job Summary

Reads medical reports and diagnostics to ensure their quality for VA rating purposes. Implements procedures necessary to have reports returned to client in a timely manner. Regular sound judgment is required in the execution of job functions.

Essential Job Functions

• Reviews and submits veterans' VA Compensation and Pension reports and diagnostics for general medical, ophthalmological, psychology, audiological, otolaryngology, and dental exams.
• Corrects any grammatical, typographical or compositional errors present.
• Arranges delivery of final reports to VA in an efficient and timely manner.
• Acts as liaison and company representative between clients and physicians.
• Provides assistance in a courteous, quick manner; treats others with care and respect, maintaining privacy and confidentiality.
• Drafts MES addendums, QA addendums, VA clarifications and abnormal letters.
• Ensures each report meets VA's strict rating requirements prior to submission to VA.
• Ensures each report meets internal quality requirements.
• Upholds the confidentiality and integrity of veterans' medical reports and diagnostic results.
• Provides feedback on provider quality and timeliness.
• Interfaces daily with providers, veterans, Schedules, Clinic Staff, and Case Builders to ensure all aspects of exam are met and complete.
• Ensures appropriate additional diagnostic testing is ordered per claimed or service connected conditions in accordance with VA guidelines.
• Meets and exceeds internal weekly productivity goal.
• Documents all interactions with veterans and providers, as well as QA steps, in the "Comments" section of OMS.
• Provides updates in "Comments" on each open exam within his/her queue every 48 hours.
• Maintains a high sense of urgency at all times.

Additional Duties and Responsibilities

• May train clients and/or physicians on an as-needed basis
• Perform other duties as assigned or required.

Minimum Job Requirements

• Familiar with medical terminology to converse intelligently with physicians, client, other staff members; as well as reading and interpretation of medical reports.
• Communication skills necessary to provide information in a comprehensible and timely fashion (oral and written).
• Interpersonal skills to work productively with physicians, staff members and clients.
• Proficient keying skills for editing reports in the computer on a daily basis.
• Ability to concentrate and pay close attention to detail for up to eighty percent of work time when reviewing reports for completeness and accuracy, completing deficiencies in the report.
• Knowledge and execution of VES policies and procedures.

Working Conditions

• Normal office environment with some exposure to moderate noise from office equipment and/or generated by staff members
• Extended hours may be required beyond the regular eight hour work day
• Frequently utilizes computer, telephone, e-mail, and eFax.
• Generally sedentary work but requires walking and standing up to approximately twenty percent of work time in carrying out job functions such as distributing reports for final review and questions.

Educational and Training Requirements

• High school diploma or general education degree (GED) with background in medical terminology usually acquired through one to two year program from a college or school; or one to two years related experience and/or training in a medical or legal field; or equivalent combination of education and experience preferred.