All roles

Quality Care Auditor

Remote · USA Full-time New today

Job DetailsLevel: ExperiencedJob Location: Remote (All Depts) - N/A, GA 30601Position Type: Full TimeSalary Range: $55,000.00 - $65,000.00 SalaryJob Shift: DayPosition Summary: Under the Quality Improvement Department, the Quality Care Auditor reviews client records to evaluate the documentation justifying service necessity, compliance with federal and state guidelines, accreditation standards and ABHS policy. This position assists with the provision of scheduled training on documentation. This position will also assist with the preparation for and facilitation of external fidelity audits and other compliance reviews. Assists with input of data and generates reports to document errors and trends. Performs daily tasks with minimal supervision. Job Responsibilities and Performance Standards: Serves as clinical resource in Behavioral Health/Addictive Disease & Intellectual Developmental Disability Practices to ensure compliance with regulations, standards and policies. Conducts internal audits to include Peer and Quality Reviews Conduct internal audits to ensure Programmatic Integrity based on ERO (External Review Organization) and agency standards. Assists with audits and reviews of agency oversites and payors Identifies trends, training needs and areas for improvement Collaborate with Quality Care Coordinator to develop new training for various types of staff. Reviews clinical documentation (e.g. assessment, progress note, treatment plan) for required ERO and agency standards and communicate with supervisors and staff to identify training needs Performs internal audits, including quarterly peer reviews, monthly quality reviews, using established criteria to determine specific and overall issues related to compliance and/or training needs. Share information with responsible clinician/supervisor and assist in formulating plans for correction/training. Maintains a good working relationship with physicians/clinicians/admin support/business office and others to keep them informed about new rules and regulations. Acknowledges and responds to requests for information in a timely manner. Attends regular agency and program staff meetings to disseminate information and provides support. Other duties as assigned by Quality Care Coordinator QualificationsMinimum Qualifications: Master’s degree in counseling, social work, psychology, or closely related field and 2+ years of professional experience in a Behavioral Health/Addictive Disease/Intellectual Developmental Disabilities setting. Knowledge of DBHDD provider manual and guidelines. Proficient use of Electronic Health Record systems Preferred Qualifications: Full licensure and/or certification in one or more counseling, social work fields. Proficient use of Microsoft applications (Excel, Power Point, Word) Apply tot his job Apply To this Job

Related roles

Senior Premium Auditor (Remote in Charlotte area)(Commercial P&C)

Remote · USA Full-time

Medical Coding Auditor job at Fathom AI in US National

Remote · USA Full-time

Revenue Integrity Clinical Nurse Auditor job at University of Kansas Hospital in Lenexa, KS

Remote · USA Full-time

FP&A Analyst - Remote

Remote · USA Full-time

[Remote] Financial Analyst (FP&A / Modeling)

Remote · USA Full-time

[Remote] Financial Analyst (FP&A / Modeling)

Remote · USA Full-time

[Remote] Financial Analyst, FP&A

Remote · USA Full-time

FP&A Analyst, Corporate Remote Remote, United States Remote United States FP&A Analyst, Corporate

Remote · USA Full-time

[Remote] Senior Financial Analyst - FP&A (48078)

Remote · USA Full-time

FP&A Analyst; Remote - from

Remote · USA Full-time

Remote Part-Time Data Entry Specialist - E-Commerce Product Management | Flexible Work-From-Home Opportunity at arenaflex

Remote · USA Full-time

Product Analyst (Solana)

Remote · USA Full-time

Netflix Remote Jobs No Experience | Netflix Remote Jobs Salary $300 Day – MySmartPros

Remote · USA Full-time

Entry-Level Remote Customer Service Representative – Flexible Part-Time Opportunity with arenaflex

Remote · USA Full-time

Sales Consultant

Remote · USA Full-time

AML Analyst III – Remote

Remote · USA Full-time

RN-Clinical Documentation Specialist.

Remote · USA Full-time

Fractional Controller, CFO – Youth Sports

Remote · USA Full-time

Experienced Bilingual Customer Service Representative - Spanish Speaker - Remote Work Opportunity in a Contractor Role

Remote · USA Full-time

Customer Service Representative - (Walmart Remote Work)

Remote · USA Full-time