MT/HDS Quality Assurance Manager

Model Job Description

The quality assurance manager must be a highly skilled editor with proven experience in the healthcare documentation profession. He or she must have demonstrated fair and unbiased judgment with the ability to review and coordinate a random review process of documents. This includes the process of monitoring, measuring, and reporting transcribed documents by healthcare documentation specialists and documents reviewed by editors.

Supervisor Defined

Different facilities use different titles, e.g., quality assurance coordinator, team leader, lead editor, or quality assurance specialist. The quality assurance manager would report to the transcription/healthcare documenation supervisor or as directed by the facility.

Minimum knowledge, skills, and abilities required:Must be a highly qualified editor.

• Demonstrated leadership/management skills.
• Demonstrate ability to work in all work types and specialties.
• Demonstrate quality transcription work, consistently maintaining an accuracy score of 98% or higher.
• Certified transcriptionist preferred.
• Advanced knowledge of medical terminology, anatomy, physiology, disease processes, signs and symptoms, medications, and laboratory values.
• In-depth knowledge of medical transcription/healthcare documentation guidelines (The AHDI Book of Style & Standards for Clinical Documentation) and practices.
• Excellent written and oral communication skills, including grammar, punctuation, and style, in order to provide consistent quality feedback to the transcriptionists, editors, and supervisors.
• Excellent acoustical skills.
• Demonstrate an understanding of the medicolegal implications and risk management responsibilities of the healthcare record, ensuring compliance with local, state, and federal rules and regulations.
• Ability to understand diverse accents, dialects, and varying dictation styles.
• Proficient in referencing, researching, reporting, tracking, and monitoring.
• Ability to multi-task with multiple priorities and time frames.
• Ability to work independently with minimal or no supervision.
• Ability to operate computer, multiple software applications, transcription equipment, and other equipment necessary, including the ability to accept voice/text files in multiple formats and word processing software.
• Organizational skills for file management.
• Mathematical skills, including calculations and statistics.
• Ability to communicate QA concerns/questions effectively with client/user.

Principal duties and responsibilities

• Direct efforts toward quality documentation, including providing procedures, training, and resources for transcription team members.
• Establish guidelines for identifying qualified applicants for transcription and quality assurance staff positions.
• Develop standards for employee performance review related to quality documentation.
  Establish criteria for quality reviews.
• Establish policies and procedures that contribute to the efficiency of the transcription department.
• Through a standard random selection process, select randomly transcribed or edited reports for review.
• Review the transcribed report against actual dictation, applying industry-specific standards provided by current resources and references.
• Using preferred standard quality scoring criteria, calculate and score reports consistently and fairly, weighing the varying degrees of errors against the documentation length.
• Provide timely and consistent feedback to the medical transcriptionist or editor in order to eliminate repetition of errors, build skills, and mentor the medical transcriptionist/editor.
• Recognize, interpret, and evaluate inconsistencies, discrepancies, and inaccuracies in the medical dictation, and appropriately clarify and/or report them as required.