QUALITY ASSURANCE SPECIALIST

Duties and Responsibilities

• Partners with Quality Department and program team members to ensure quality service delivery and reduce fraud, waste, and abuse.
• Assists with ensuring compliance with EHR components and agency policies and procedures, all federal, state, and local regulations and laws, and all licensing and accreditation regulations.
• Addresses any domain configuration, reporting, and/or training needs collaboratively with the EHR Manager and Staff Development Department.
• Supports implementation and/or merging of Credible EHR domains.
• Effectively maintains administration of domains, a.k.a. responsible for “domain wellness”.
• Is knowledgeable of and advises teams on best practices on use of EHR for service delivery.
• Review and analyze the effectiveness and efficiency of existing systems and develop strategies for improvements.
• Provides/Assists EHR New Hire, End User, and Administrative Trainings and support, as requested.
• Adhere to all policies and procedures, with the most stringent attention to complying with all governmental and HIPPA mandated patient confidentiality regulations. Holds all company and employee information at the highest level of confidentiality.
• Follows and promotes a trauma-informed approach when assisting with client and employee complaints/investigations.
• Facilitates data collection in areas such as incident/accident reports, completion of consumer feedback surveys to identify any programmatic concerns, outcome measurements, and compliance reporting.
• Completes record compliance audits, and aggregate results.
• Gathers and sends data for external requests for information. Assists with preparations for licensing, county or other visits when needed.
• As needed, completes credentialing/contracting documents.
• Assists with records management as required, both in paper and electronically.
• Assists in developing solutions to identified department problems in cooperation with management.
• Participates in PQI committees when assigned.
• Remains flexible to provide assistance with emergencies in the evening or weekend hours for any significant compliance concerns or EHR-related problems.

Qualifications

• Bachelor’s degree in health systems, or related field.
• Associates degree in health systems, or related field plus two years’ experience preferably in social service environment.
• Two years’ experience implementing/supporting or hands-on operational experience with Credible platform, or electronic health record systems.
• High level of computer literacy with MS Office products.
• Ability to read, write and comprehend information.
• Ability to effectively communicate with residents, peers, clients, employees, and administration.
• Ability to professionally write detailed reports.
• Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.