Job Detail

POSITION SUMMARY

Mary's Path is seeking a Quality Assurance Specialist for our behavioral health program serving teen mothers in foster care and their babies. The QA Specialist is responsible for maintaining client records with a focus on the quality assurance of the program. The incumbent will provide administrative support for all client documentation, such as the charting timetable, verifying the validity of clinical documentation, and maintaining the physical and electronic client records. The position supports the direct care staff and the clinical supervisor.

QUALIFICATIONS

• BA/BS degree, preferably in Social Services or Liberal Arts
• Fingerprint clearances
• Own vehicle, valid California Driver’s License and insurance

CORE COMPETENCIES

• Excellent organizational, analytical, computer and communication skills
• Must be detailed oriented, strong problem solving-skills, pro-active to resolve issues before they escalate
• Computer literacy with PCs computers.
• Ability to structure and perform routine tasks.
• Ability to work as a member of multi-disciplinary team.

RESPONSIBILITIES

• Responsible for the intake, admissions, discharges, and changes to diagnosis the electronic health records systems and billing systems.
• Create and maintain client records for assigned program(s) according to federal, state and local law, as well as agency policy.
• Monitor and track required documentation, ensuring accurate and valid completion according to established programmatic, county, and state guidelines.
• Check monthly state and county Medi-Cal/Private Insurance eligibility.
• Conduct Quality Management Chart Review of all administrative, clinical, and medical documentation to ensure proper completion of documents.
• Validate and process client documentation completed by direct service staff.
• Communicate with treatment team regarding corrections or necessary changes for documentation, returning as needed.
• Maintain current chart status using the chart tracking tools and communicate with clinical team about needed/missing/incorrect documentation.
• Create document checklist for Clinical Supervisors to facilitate monthly chart review peer review preparation.
• Engage in peer review processes to ensure high quality records.
• Run client reports from the electronic health records system and or billing systems.
• Responsible for all billing using Billing Information Systems for assigned program(s). Includes: client registration, opening/closing client episodes, and accurate service entries/ maintenance. The type and number of entries is dependent upon which program the Quality Assurance Specialist is assigned to.
• Troubleshooting billing issues and inaccuracies. Submitting billing summaries and reports necessary for invoicing to appropriate department(s).
• Complete dismantling of charts upon client discharge. Prepare charts for storage after completing technical and clinical audits.
• Process long-term storage requests.
• Ensure appropriate and timely distribution of Incident Reports.
• Distribute daily information to various agencies in a professional and accurate manner, as needed.
• Update program attendance and process requests for needed client reports.
• Process Record Requests in accordance with federal, state and local law and agency policy, as needed.
• Provide support of audits, such as the county or state audits
• Other duties as assigned by the Quality Assurance Manager.

COMPENSATION

Salary Range $48,000 - $58,000, Salary Non-exempt

Job Type: Full-time

Pay: $48,000.00 - $58,000.00 per year

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Employee assistance program
• Health insurance
• Life insurance
• Paid time off
• Parental leave
• Retirement plan
• Vision insurance

Schedule:

• Day shift

  Application Question(s):

  • What EHR systems are you familiar with?
  • How many years of experience do you have billing Medi-Cal services to County Behavioral Health Departments? Note that this question is not referring to billing services to private insurance or managed care companies.

  Education:

  • Bachelor's (Required)

  Work Location: In person