Quality Care Auditor

Position 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

Minimum 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)

Salary : $55,000 - $65,000