Quality Assurance Analyst – Medical Facility Surveys

Posted 6hrs ago

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Job Description

Remote QA Analyst reviewing CMS healthcare survey documentation for HMS, a healthcare quality services provider. Analyzing surveyor performance, training needs, and process improvements.

Responsibilities:

  • Review, format, and edit Form CMS 2567s (Statements of Deficiencies) prepared by surveyors
  • Use CMS data applications, including ASPEN data reporting and retrieval systems, to facilitate survey documentation exchange
  • Check ASPEN data for formatting, accuracy, grammar, and spelling
  • Ensure survey documents submitted to CMS, Regional Offices, state agencies, or other external agencies meet requirements
  • Assess individual surveyor citation patterns, performance, and inter-rater reliability
  • Collect and analyze Quality Assurance Performance Improvement data
  • Identify improvement indicators and discuss change alternatives with OSP staff
  • Assist with implementing new methodologies to improve survey processes and surveyor performance
  • Monitor changes, analyze outcomes, and report results
  • Assist with training survey staff using CMS-approved materials and updates
  • Evaluate surveyor performance and support retraining when needed
  • Ensure Form CMS 2567s are submitted to CMS within 5 business days of the exit interview
  • Notify CMS when extensions are appropriate and coordinate documentation review with survey team leaders
  • Maintain communication with surveyors and attend pre- and post-survey conference calls
  • Solicit and analyze surveyor feedback on CMS training programs and prepare written summaries for monthly CMS reports
  • Assist CMS in analyzing survey findings to identify training, program clarification, or provider re-education needs
  • Attend CMS-related conference calls and participate in surveys as directed

Requirements:

  • Registered Nurse, Licensed Dietitian, Licensed Social Worker, or Generalist with at least 2 years of experience as a health care facility surveyor
  • Knowledge of and experience with Quality Assurance Performance Improvement
  • Educator experience
  • Familiarity with federal regulations related to Medicare and Medicaid requirements for health care providers
  • Strong grammar and writing skills
  • Valid driver's license that must be possessed and maintained
  • Attend CMS annual surveyor training and subsequent required trainings
  • Participate in surveys as directed

Benefits:

  • Equal opportunity and affirmative action employment practices
  • EEO/AA/E-Verify compliant workplace
  • Drug-free workplace