Quality Assurance Coordinator

About the role

The Clinical Quality Assurance Coordinator uses independent judgement and discretion to perform complex program reviews and analysis that support contract compliance and program performance, adhere to chart and program documentation requirements, program reporting and preparation for agency audits. Ensures compliance with legal, ethical, contractual and agency requirements and standards.

Responsibilities

• Analyzes and evaluates charts, summarizes and shares findings with appropriate supervisors and managers, and leadership.
• Acts as primary liaison with Department of Mental Health’s (DMH) Standards and Records Department and internal managers for other funders relative to documentation issues.
• Identifies clinical staff in need of chart documentation training; develops training material and conducts training for managers, supervisors, and staff.
• Prepares for audits utilizing the Electronic Health Record System (EHRS) and claiming system at an expert level and collaborates with VP’s, Director of Compliance, Clinical Program Managers, Supervisors, Health Information Management (HIM), Custodian of Records, and leadership for audit purposes.
• Analyzes and evaluates documentation for accuracy of clinical content and procedure billing codes for DMH Contracts.
• Develops and implements tracking forms and systems in order to audit chart documentation to federal and county regulations; identifies and recommends methods to streamline procedures/improve efficiency.
• Acts as primary liaison with DMH Standards and internal department’s Director of Compliance, HIM, Custodian of Records Department, and other funders relative to documentation issues.
• Collaborates with VP’s, clinical managers, and supervisors to prepare for audits by DMH, Department of Child and Family Services, and other funders.
• Serves as leader in such audits.
• Maintains working expert knowledge of program standards and policies as developed by the agency, licensing and other governing bodies.
• Develops personal and professional knowledge by attending educational workshops; reviewing professional publications; establishing personal networks; benchmarking state-of-the-art practices; participating in in-service programs.

Qualifications

• 3 years of County and State standards to chart documentation experience.
• Master's degree in psychology, social work, marriage and family counseling and registration or license required.
• Any of the following: MFT Associate Registration with the Board of Behavioral Sciences, MFT License with the Board of Behavioral Sciences, LCSW License with the Board of Behavioral Sciences, ASW Registration with Board of Behavioral Sciences, Registered and Waivered with the Board of Psychologists.

Additional Duties

Other duties and special projects as assigned.

Supervisory Responsibilities

This job has no supervisory responsibilities.

Education & Experience

Master's degree in psychology, social work, marriage and family counseling and registration or license required. 3 years of County and State standards to chart documentation experience.

Computer Skills

Advanced knowledge proficiency of computer programs in a Windows environment, including Word, Excel, PowerPoint, Outlook, and Teams. Proficient in Electronic Health Records System Vision Requirements No special vision requirements. NOISE LEVEL Moderate noise

Compensation

$73,601.00 USD - $85,469.00 USD

Benefits

• Generous paid PTO, plus 10 paid holidays
• Excellent medical, dental, and vision insurance for eligible employees and qualified dependents
• 403b Retirement Plan with employer contribution for eligible employees
• Up to $4,500 in tuition reimbursement per calendar year
• Eligible for the Public Service Loan Forgiveness program
• Flexible Spending Account (FSA) & Health Savings Account (HSA)
• Employer paid Life and AD&D Insurance
• Voluntary Supplemental Insurance
• Opportunity for growth & advancement
• Professional development & continued training
• Team building & bonding through company sponsored events & activities

Contingencies

• Influenza immunization or declination
• Covid-19, MMR and Tdap immunizations
• Education verification
• Reference check
• Background fingerprint clearance (FBI, DOJ, CACI) conducted by the California Department of Social Services
• Drug and alcohol screening
• Tuberculosis screening